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Moreover, in mice we observed that chronic l-carnitine supplementation resulted in markedly elevated plasma BB levels (more so than l-carnitine or TMAO), and it was the first step of the overall gut microbial catabolic pathway (i.e., l-carnitineBB) that was induced in mice following chronic l-carnitine dietary exposure (26)

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It scored 4.8 to Ros 4.0 in our reviews, and that gap is mostly about value and ease