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10 Limitations of the study This study is a narrative review, which entails several important limitations

L-carnitine likely affects cells apoptosis in several ways: Firstly, LC effectively inhibits the mitochondrial membrane depolarization and permeability, resulting in apoptosis by transferring the accumulated long-chain fatty acid surrounding mitochondria

For meat-eaters who have a lot of gut bacteria to turn it into TMAO, that could be dangerous, though the safety of this hasn't been studied

Moreover, it plays an immune negative regulatory role in chronic hepatitis B virus (HBA) infection by preventing the formation of germinal centers (GCs), reducing the antiviral activity of GC-related immune cells and enhancing the function of immunosuppressive cells [227]