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Description
[1] Carnitine exists as one of two stereoisomers: the two enantiomers d-carnitine ( S -(+)-) and l-carnitine ( R -()-)

[14] As a second method, there is a biological method using microorganisms or enzymes

Penedo LA, Nunes JC, Gama MA, Leite PE, Quirico-Santos TF, Torres AG

Nakae, J., Barr, V

As CKD progresses, the TMAO levels in patients gradually increase
