secondary l-carnitine deficiency Carnitine Syndromes Role of carnitine in disease
Description
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(Ed.), UpToDate
The bioavailability of L-carnitine from supplements is between 14%18% (31), with the remainder passing into the colon where gut microbiota convert it to TMA

A possible answer may lie in the fossil viruses encoded into the human genome

Role of l-Carnitine in Fatty Acid Metabolism l-Carnitine is a cofactor of several enzymes (carnitine translocase, acylcarnitine transferases I and II) necessary for the transformation of free long chain fatty acids to acylcarnitines, and their transport into the mitochondrial matrix

Fortunately, there are treatments (such as surgery) and prevention methods (massages before the operation) to avoid this complication
