l carnitine makes bacteria create mtao Comparison of short-term and long-term effects of peroral L-carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications Mammalian-Microbial Cometabolism of L-Carnitine in
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On carnitine content of the human breast milk

Elife 6 2017 PMC5617631 Santos LRB, Muller C, de Souza AH, Takahashi HK, Spegel P, Sweet IR, Chae H, Mulder H, Jonas JC

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However, the extract produced a significant 15% reduction in TMAO response in female participants of premenopausal age and male participants ( n = 13), indicating potential sex-dependent cardiovascular benefits from polyphenol interventions targeting the gut microbiome-TMAO pathway
