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Although a Rieske-type microbial CntA / B enzyme was proposed to convert carnitine to TMA [20], recent studies argued against its role in TMA synthesis from carnitine in the human gut [11, 21]

In Vitro Research on Dietary Polyphenols and Health: A Call of Caution and a Guide on How To Proceed

Serious hypersensitivity reactions, including anaphylaxis, laryngeal edema, and bronchospasm have been reported following Levocarnitine administration, mostly in patients with end stage renal disease who are undergoing dialysis

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It is advised to consult a healthcare professional before taking these medications