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In peripheral tissues, Acetyl L-Carnitine performs a critical transport function shuttling long-chain fatty acids across the mitochondrial membrane so they can be used as fuel

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Since L-carnitine is contained in red meat, omnivorous humans have higher values of TMAO than vegetarians, explaining why L-carnitine and the microbiota may contribute to the causal link between high consumption of red meat and CV risk 35

Wang Y, Zhu S, He W, Marchuk H, Richard E, Desviat LR, Young SP, Koeberl D,Kasumov T, Chen X, Zhang GF (2024) The attenuated hepatic clearance of propionate increases cardiac oxidative stress in propionic acidemia