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The elevated TMAO levels, along with the patients medical history of liver cirrhosis and recent dietary and lifestyle changes, were consistent with secondary TMAU, most likely exacerbated by the use of L-carnitine supplements, which are rich in the precursor for TMA production

Permeability to proteins and to large lipoid molecules

Angina and Recovery from Myocardial Infarction Carnitine is useful in angina due to its ability to improve oxygen usage and energy metabolism by the myocardium
