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Secondly, the intestinal metabolism of L-carnitine is thought to generate trimethylamine-N-oxide (TMAO), a compound that has been linked with faster atherosclerosis progression

Hiatt, W

The purpose of this review is to comprehensively investigate of the emerging understanding of the pleiotropic role of the carnitine pool, carnitine/acylcarnitines are not only auxiliaries or metabolites of fatty acid oxidation, but also play more complex and diverse roles, including energy metabolism, mitochondrial homeostasis, epigenetic regulation, regulation of inflammation and the immune system, tumor biology, signal transduction, and neuroprotection

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