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doi: 10.1007/s10157-021-02108-6 [DOI] [PMC free article] [PubMed] [Google Scholar] 124

Elevated levels of TMAO may impair the ability of NK cells to lyse target cells, thereby potentially impairing immune surveillance against tumors and infections (84)
This is why it is important to obtain L-Carnitine through diet or supplementation
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