Revisiting the Role of Carnitine in Heart Disease Through the Lens of the Gut Microbiota Pathobiological Relationship of Excessive Dietary Intake of Choline L Carnitine: A TMAO Precursor Associated Aggravation in Heart Failure in Sarcopenic Patients Full article: Gut microbes with the gbu genes determine TMAO production from L carnitine intake and serve as a biomarker for precision nutrition JCI The contributory role of gut microbiota in cardiovascular disease Linking anaerobic gut bacteria and cardiovascular disease Nature Microbiology
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tmao l-carnitine Intestinal microbiota metabolism of l-carnitine, a nutrient in red meat, promotes atherosclerosis