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That is what most media reports missedeven though its the very first sentence of the paper

J Physiol 589.7 pp 1509-1510

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You can read more about this in the part about side effects of L-carnitine

We discuss the potential mechanisms by which TMAO affects the immune regulation of IBD and its impact on several immunometabolism-related diseases, aiming to explore strategies for reducing IBD risk through dietary interventions