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Further, while dietary l-carnitine supplementation induced no differences in fecal transformation of the first step of the l-carnitineBBTMA/TMAO metaorganismal pathway in either omnivores or vegans/vegetarians, dietary l-carnitine provision induced enhanced fecal microbial transformation of the second microbial step in the overall pathway (i.e., d 9 -BBd 9 -TMA) in omnivores ( P = 0.02), but not vegans/vegetarians ( P = 0.69) (Figure 5C)

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Cohen, L

Some medications metabolized by the liver may have altered effects when taken with L-Carnitine

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Karuppagounder SS, Alin L, Chen Y, Brand D, Bourassa MW, Dietrich K, et al