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It has been shown that antioxidant compounds, such as L-carnitine, can reduce inflammation by suppressing the NF-B pathway in ischemic stroke [39]

Randomized comparison of long-term carvedilol and propranolol administration in the treatment of portal hypertension in cirrhosis

Fleisher DR, Matar M

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L-carnitine metabolism to GBB, crotonobetaine, and TMA (and ultimately TMAO) could affect L-carnitine availability for bioenergetics, particularly if biosynthesis is also impaired and/or there is an increased reliance in FAO for energy production (i.e., an increased demand for L-carnitine)