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The effects of l-Carnitine supplementation on inflammatory markers, clinical status, and 28 days mortality in critically ill patients: A double-blind, randomized, placebo-controlled trial

Elevated levels of TMAO may impair the ability of NK cells to lyse target cells, thereby potentially impairing immune surveillance against tumors and infections (84)

[Google Scholar] 32.Osswald H., Schnermann J

This is partly due to the discovery of mechanisms for both primary and secondary carnitine deficit, as well as carnitines use as a therapeutics and supplement

Activated B-vitamins help bypass genetic bottlenecks, supporting the methylation cycle and antioxidant defenses

Beyond energy production, L-carnitine also helps remove metabolic waste products from cells and supports overall cellular efficiency