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Shimada M, Hirashima N, Iwase H, Saito M, Kondo H, Urata N, et al

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The liver then oxidizes this TMA into Trimethylamine N-oxide (TMAO), a metabolite strongly associated with an increased long-term risk of atherosclerosis and cardiovascular disease

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In addition, it also carries toxic compounds to the outside of the cells and is present in tissues such as skeletal and cardiac muscles

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In this study, the authors hypothesised that L-carnitine could elevate choline in the liver through a regulation of betaine

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Effect of L-carnitine upon ammonia tolerance test in cirrhotic patients

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