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L-carnitine can be converted by gut microbiota into trimethylamine, which the liver converts into TMAO

doi: 10.1016/j.stem.2016.06.001 63 Alvarez-CalderonFGregoryMAPham-DanisCDeRyckereDStevensBMZaberezhnyyVet al

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At the same time, there has been ongoing public discussion about the regulatory status of peptides in the United States

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