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In addition, patients with pre-existing medical conditions, pregnant and nursing women should take special care by avoiding the intake of liquid L-carnitine, as well as any other substances or supplements without prior permission from your accompanying specialist.

Trimethylamine-N-oxide is elevated in the acute phase after ischaemic stroke and decreases within the first days

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Theoretically, higher PDC flux during strenuous exercise would be expected to reduce blood lactate (BL) accumulation, which could potentially preserve glycogen stores and subsequently delay premature fatigue 3,4

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However, whether the increase in plasma TMAO levels caused by changes in dietary structure or imbalance of the intestinal microbiota is sufficient to regulate the CSNS and induce arrhythmias directly is currently unclear