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Carnitine can help the heart adapt to the disease environment via metabolic reprogramming by regulating changes in oxidative metabolism, glycolysis and ATP production in the damaged myocardium [287]

And oxidized LDL cholesterol causes inflammation and endothelial dysfunction

Ford ES, Ajani UA, Croft JB, et al

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For example, a research group at the Cleveland Clinic in the US gave human participants a nutrient similar to l-carnitine that is also converted into TMA by gut microbes

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