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l-carnitine arterial plaque γ-Butyrobetaine Is a Proatherogenic Intermediate in Gut Microbial Metabolism of to TMAO L-Carnitine in the Treatment of
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doi: 10.1038/s41581-023-00720-1 105 JellusovaJCatoMHApgarJRRamezani-RadPLeungCRChenCet al

This mechanism is called the carnitine shuttle, in which fatty acids cross the mitochondrial membranes bound to L-carnitine, forming acylcarnitine molecules that can cross the mitochondrial membrane through a transporter in exchange for free L-carnitine

Microbiome 5 (1), 30
