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L-carnitine works by transporting long-chain fatty acids across the inner membrane of the mitochondria, where they are used as fuel

However, gut microbial formation and catabolism of BB during oral l-carnitine metabolism in omnivores versus vegans/vegetarians, the human commensals that can utilize BB as a nutrient, and the relationship of this metabolite to the metaorganismal TMAO pathway and CVD had not yet been explored

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There are considerable limitations to the present study

These carriers enhance drug retention, facilitate targeted delivery, and protect against degradation, thereby improving overall bioavailability

It tends to intensify during daytime rather than nighttime, with exacerbations commonly occurring during the winter season and cold climates (20, 21)