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(2013, Nature Medicine) found that L-carnitine is metabolized by intestinal microbiota to trimethylamine-N-oxide (TMAO), a proatherogenic substance associated with increased CVD risk

doi: 10.20463/jenb.2018.0026

Recently, Hussein et al

JACC Basic Transl

Over time, it can lead to atherosclerosis , a serious disease affecting arteries
