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One of the more surprising findings of the present studies was the relatively small amount of d 3 -BB found in plasma compared with d 3 -TMAO after d 3 -l-carnitine challenge, especially after ex vivo fecal studies showed that BB is a major metabolite of l-carnitine produced by human fecal polymicrobial cultures (43)

Excess carnitine released by hepatocytes prevents hepatitis B surface antigen (HBsAg) clearance through immunosuppression

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