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Fecal metabolic transformation studies, and oral isotope tracer studies before versus after chronic l-carnitine supplementation, revealed that omnivores and vegans/vegetarians alike rapidly converted carnitine to BB, whereas the second gut microbial transformation, BBTMA, was diet inducible (l-carnitine, omnivorous)

Rev Endocr Metab Disord 17(3):287294

doi: 10.1038/s41590-021-00993-3 217 SeilerASchneiderMFrsterHRothSWirthEKCulmseeCet al

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Differences include: Belmar adds cyanocobalamin (B12), the inactive ingredients may differ, the delivery method is different (vial and syringe vs