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Carnitine Palmitoyltransferase (CPT1) activates the conversion of carnitine and long chain acyl-CoAs to form long chain acetylcarnitine (most often acetylcarnitine) and Coenzyme A which can effectively pass into the inner regions of the mitochondia

Besides, TMAO is excreted mainly through the kidney, 96% of which is eliminated in urine by 24 h (Taesuwan et al., 2017)

[DOI] [PubMed] [Google Scholar] Augustyniak A, Skrzydlewska E (2010) The influence of Lcarnitine suplementation on the antioxidative abilities of serum and the central nervous system of ethanolinduced rats

Stress activates the NeuroEndoMetabolic (NEM) stress response, and your Cardionomic circuit is part of this response