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4-N-trimethylaminobutyraldehyde dehydrogenase (TMABA-DH) then catalyzes TMABA dehydrogenation to generate -butyrobetaine (BB)

doi: 10.1111/j.1440-1681.2006.04327.x

Cell Neurosci

Antioxidant effect of L-carnitine and its short chain esters: relevance for the protection from oxidative stress related cardiovascular damage

Many times, just as in Hashimotos, there may be more than one trigger
