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l carnitine transports long chain fatty acids into mitochondria Disorders of mitochondrial long-chain acid oxidation and the shuttle | Reviews in Endocrine and Metabolic Disorders Frontiers | Fatty acid oxidation
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Therefore, plasma TMAO levels are influenced by multiple complex factors, especially the amount of TMA precursors and dietary TMAO sources in the diet, the dominant genera in the gut microbiota, FMO3 enzyme activity, and kidney functions

The body responds by sending fat stores to the liver

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