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In simpler terms, L-carnitine acts as a fat transporter, moving stored fat into the cell where it can be burned as energy

TMAO forms in the liver via the oxidation of trimethylamine (TMA), a product of the gut microbial metabolism of nutrients such as choline, L-carnitine, and phosphatidylcholine, which are abundant in red meat and other animal products

Diabetic Ketoacidosis in Pregnancy Obstetrics & Gynecology:May 2014 Volume 123 Issue 5 p 1106 El-Sedfy A

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Yokoyama A, Ishii H, Takagi T, Hori S, Matsushita S, Onishi S, et al