metabolic maintenance l carnitine 3500 – Nutrition Role of carnitine in disease
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2021;138(2):e55-e64

Second, altering the microbiome can have unintended effects beyond TMA production so changes should ideally be done under clinical supervision when possible

doi: 10.1016/j.ajem.2021.07.062 110

Mutation Research/Genetic Toxicology and Environmental Mutagenesis (2008)

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Besides, concerning about the environment protection, to ensure the yield of each synthetic process and to avoid an unaccepted intermediate entering into the next reaction during the multi-synthetic steps decreases the polluting steps and reduces the cost of the "three wastes" treatment
