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Management and Future Directions Effective management of Trimethylaminuria necessitates a multidisciplinary approach, encompassing dietary modifications, personal hygiene practices, and psychological support [21]

This mechanism represents a control of the influx of fatty acyl units into mitochondria in response to the intra-mitochondrial acetyl-CoA level, in addition to the finely regulated mechanism of CPT1 by malonyl-CoA

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It is worth mentioning that there is some research work suggesting that dietary L-carnitine might accelerate atherosclerosis via gut microbiota metabolites