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Vernberg EM, Biggs BK

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The most commonly reported side effects of L-carnitine supplements are gastrointestinal, including nausea, stomach cramps, diarrhoea, and a distinctive fishy body odour caused by the production of trimethylamine during gut metabolism

Conversely, in the same study, TMAO pre-treatment for 1 h did not influence the intracellular NO release and eNOS phosphorylation in BAEC-1