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Monitoring: Follow-up testing for TMAO levels was arranged

(2) Urban T et al. (2006). Functional Genetic Diversity in the High-Affinity Carnitine Transporter OCTN2 (SLC22A5). Molecular Pharmacology, 70(5), 1602-1611. doi: 10.1124/mol.106.028126

Nephrol Dial Transplant 21: 3211-3214 Rizos I (2000) Three-year survival of patients with heart failure caused by dilated cardiomyopathy and L-carnitine administration

Maintaining consistency with your supplement routine is more important than taking excessively high doses