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In addition, chronic dietary exposure to l-carnitine results in induction of enhanced gut microbiota catabolism of l-carnitine principally mediated by the second step BB catabolism producing TMA resulting in greater TMAO generation in the omnivorous versus the vegan/vegetarian host (Figure 10)

When administered properly under medical supervision, many patients experience significant improvements in pain, inflammation, and tissue function

J Clin Endocrinol Metab 87(6):2564-7

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Presented to the International Congress of Obesity, Sydney, Australia 2006