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Despite the complexity of TMAOs role in atherosclerosis, studies have indicated that managing TMAO through nutrition, medication, or microbiome modification may help lessen its effects and even reverse its contribution to the advancement of the disease [73, 76]

Studies show that L-carnitine improves the transport of long-chain fatty acids into the mitochondrial matrix, triggering cardioprotective effects through reduced oxidative stress, inflammation and cell death

Behavior of acetyl-l-carnitine injections (Nicetile fiale) with different drugs used for combined therapy

But, some studies suggest taking it with other amino acids may create competition for absorption

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[PubMed] [Google Scholar] Dunning K.R.R.R