l-carnitine rett syndrome syndrome: new clinical and molecular insights Drugs used in clinical trials
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Sharif, Kassem, Alaa Sharif, Fareed Jumah, Rod Oskouian, and R

Murad CA, Begg SJ, Griffiths PJ, Littleton JM

Am J Med Genet 2004

doi: 10.1016/j.vph.2022.107043 96

However, when these germ-free mice were then put into a non-sterile environment for a few weeks, their guts were colonized with bacteria that started converting the dietary choline and L-carnitine into TMA and led to increasing TMAO levels in their blood
