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Description
Koeth's 2013 study (PMID 23563705) showed that gut bacteria convert dietary carnitine into trimethylamine, which the liver then oxidizes into TMAO (trimethylamine-N-oxide)

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Antioxidant Action of Carnitine: Molecular mechanisms and practical applications
Taken together, although the available data and physiological rationale suggest benefits of titrated MCT supplementation, with increased ketone production to provide energy substrate when glucose availability drops, more controlled studies are needed to clarify the pros and cons of MCT for symptom reduction during keto-induction
