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10.1016/j.foodchem.2019.05.001 94 ZhuB.ZhaiY.JiM.WeiY.WuJ.XueW.et al (2020)

This indicates a shift of tumor-associated macrophages towards an immune-stimulatory phenotype, which can enhance T cell activation

Of course, once the magical words L-Carnitine became popular, products began to flood the market

[15] Methionine donates methyl groups for the synthesis of S-adenosyl-methionine, which in turn drives phosphatidylcholine production and very-low-density lipoprotein assembly, facilitating export of triglycerides from hepatocytes and mitigating diet-induced steatosis

-Butyrobetaine is a proatherogenic intermediate in gut microbial metabolism of L-carnitine to TMAO
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