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l-carnitine fatty acid transport into mitochondria role CARNITINE AND OXIDATION Carnitine Shuttle and Fatty Acid
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AI answer: L-carnitine can raise TMAO in some people because gut bacteria metabolize unabsorbed carnitine

doi:10.1097/MD.0000000000010114 Berkson BM, Rubin DM, Berkson AJ

[DOI] [PMC free article] [PubMed] [Google Scholar] 9.Wang Z, et al
Moreover, the abundance of bacteria carrying bile salt hydrolase and bile acid inducible enzyme in the gut microbiota of IBD patients, such as Firmicutes , Ruminococcaceae , Lachnospiraceae , and Eubacterium , is reduced
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