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A diet rich in red meat has been shown to disrupt the gut biome and so other ALCAR/LC sources may be preferred

Spiekerkoetter, U., Bastin, J., Gillingham, M., Morris, A., Wijburg, F., and Wilcken, B

doi: 10.7759/cureus.78157 Moiud Mohyeldin , Feras O Mohamed , Marcos Molina , Muhanned Faisal Towfig , Ahmed M G Mustafa , Ahmed H Elhussein , Faris Alamin , Misbahuddin Khaja , Preeti Jadhav

However, this may be associative rather than causal as another study found that bone marrow fat content was primarily affected by age and BMI, more so than CKD, as measured by the IDEAL-IQ sequence of MRI (544)
