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Description
This leaves much less unabsorbed L-carnitine for the gut bacteria to convert into smelly TMA
in particular, liver dysfunction was significantly more severe in these patients than in those who were not supplemented (124)

Use caution in patients with renal impairment or hepatic dysfunction

Appl Sci 11(18):8522 Paulson HL, Shakkottai VG, Clark HB, Orr HT (2017) Polyglutamine spinocerebellar ataxias - from genes to potential treatments
