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10.1016/j.reaurg.2004.03.014 Ellenhorn M: Diagnosis and treatment of human poisoning

[Google Scholar] 29.Bloisi W, Colombo I, Garavaglia B, Giardini R, Finocchiaro G, Didonato S

19 In a more recent 2017 analysis of 17 randomized controlled trials for chronic heart failure (CHF) treatment including 1,625 patients, researchers concluded that L-carnitine treatment is effective for CHF patients in improving clinical symptoms and cardiac functions 20

TMAO, produced through the gut-microbial metabolism of L-carnitine and subsequent liver oxidation, is associated with cardiovascular risks, including atherosclerosis, heart attacks, and stroke