l carnitine tmao koeth 2013 nature medicine Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis JCI - l-Carnitine in omnivorous
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May 3 2021;4(5):e2113020

Sep 30 2021;doi:10.1111/all.15116

Man AWC, Zhou Y, Xia N, Li H (2020) Involvement of gut microbiota, microbial metabolites and interaction with polyphenol in host immunometabolism

doi: 10.1007/s12031-018-1225-9

Both forms help manage PCOS symptoms, with L-carnitine aiding in weight management and ALC improving insulin sensitivity and hormonal balance
