Frontiers Gut Metabolite Trimethylamine N Oxide in Atherosclerosis: From Mechanism to Therapy Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications A 2016 study suggested L carnitine could drop a key cardiovascular risk marker by up to 12%, which sounded promising at first., But follow up research told a more complicated story, with inconsistent Carnitine metabolism in the human gut: characterization of the two component carnitine monooxygenase CntAB from Acinetobacter baumannii Journal of Biological Chemistry
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l carnitine atherosclerosis Cardiovascular Health Integrative Overview