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Description
A landmark study published in Nature Medicine (Koeth et al., 2013) demonstrated that gut bacteria metabolise L-carnitine into trimethylamine N-oxide (TMAO), a compound associated with atherosclerosis in animal and observational human studies

doi: 10.1016/S0140-6736(05)77835-1

L., Visentin, M., Gai, Z., Hausler, S

Guerreiro G, Mescka CP, Sitta A et al (2015) Urinary biomarkers of oxidative damage in maple syrup urine disease: the l-carnitine role
The neurological version: Acetyl-L-Carnitine Acetyl-L-Carnitine (ALCAR) is L-Carnitine bound to an acetyl group
