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Moreover, in mice we observed that chronic l-carnitine supplementation resulted in markedly elevated plasma BB levels (more so than l-carnitine or TMAO), and it was the first step of the overall gut microbial catabolic pathway (i.e., l-carnitineBB) that was induced in mice following chronic l-carnitine dietary exposure (26)

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The risk of coronary or peripheral arterial revascularisation was significantly decreased, while the risk of unstable angina requiring hospitalisation and the risk of hospitalisation due to heart insufficiency were modestly decreased