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Intestinal microorganisms metabolize TML into trimethyl-5-aminovaleric acid (TMAVA), which can competitively inhibit the binding of -BB to BBD, thereby inhibiting carnitine biosynthesis and FAO in the liver, promoting steatosis and aggravating fatty liver [250]

J Rheumatol 2010;37:615621

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In such cases, supplementation becomes essential, and pairing it with a coffee vegan protein powder India while knowing the best time to take L-carnitine helps maximize absorption and results