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Prebiotic supplementation (e.g., inulin, resistant starches) and dietary interventions such as the Mediterranean diet have shown favorable effects on TMAO levels and cardiovascular markers [8, 33]

In another placebo-controlled trial conducted by the same group, similar improvements in sperm motility were observed in participants supplemented with 2g/day of L-carnitine and 1 g/day of acetyl-L-carnitine (ALCAR) for six months (112)

doi: 10.1186/s12944-016-0277-5