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Chronic oral ingestion of L-carnitine and carbohydrate increases muscle carnitine content and alters muscle fuel metabolism during exercise in humans: Muscle carnitine loading and fuel utilisation

Neurobiol Aging 11: 169173, 1990

Brain insulin signaling and cerebrovascular disease in human postmortem brain

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Only when carnitine enters the gut could that toxic TMAO be made by the gut bacteria as I detail in the video