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[10] Gastrointestinal disturbances-including nausea, loose stools, and a transient fishy body-odor attributable to trimethylamine production from excessive carnitine and choline metabolism-occur in a minority of recipients and are usually self-limiting within 24 to 48 hours after injection

Growing awareness of lifestyle diseases such as diabetes and cardiovascular conditions further supports this demand, as L-Carnitine is often recommended for improved heart health and weight control

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The TMA/TMAO pathway likely represents only one of many microbe-dependent pathways that will ultimately be linked to CVD pathogenesis
