Cleveland Clinic researchers have discovered a connection between elevated blood levels of TMAO (trimethylamine N oxide)a byproduct of gut bacteria digestion of nutrients found in red meat and other animal productsand a higher Gut microbiota metabolism of l carnitine and cardiovascular risk Atherosclerosis Role of L carnitine in Cardiovascular Health: Literature Review Cureus Revisiting the Role of Carnitine in Heart Disease Through the Lens of the Gut Microbiota
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l carnitine atherosclerosis TMAO biosynthesis. L-carnitine and choline are derived from the diet