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And this without taking into account the metabolic limit for the endogenous production of each subject, which is also subject to diet, the main source of L-carnitine (meat, fish)

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Figure 2 Regulation of Acetyl-CoA/CoA Ratio Under physiological conditions, carnitine can buffer excess acetyl-CoA in the mitochondria via the formation of acetyl-carnitine (34)

TMA is produced in the intestines not only from L-carnitine but also from betaine, buterobetaine (GBB), choline, and other compounds containing choline, which are present in the typical diet (red meat, eggs, poultry, fish, and dairy products)
