l carnitine tmao nature medicine 2013 koeth Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis JCI - l-Carnitine in omnivorous
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Biochem Biophys Res Commun 231 : 488493 Liu Y, Rosenthal RE, Stark-Reed P, Fiskum G

Some men use acetyl-L-carnitine for infertility, symptoms of "male menopause" (low testosterone levels due to aging), and a disease of the penis called Peyronie's disease

A fourth potential cause is heart valve disorders which force the heart to pump with increased force

Adv Cancer Res (2017) 136:10938
