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Over time, L-carnitine may raise blood levels of trimethylamine-N-oxide (TMAO)
Distinct transport activity of tetraethylammonium from L-carnitine in rat renal brush-border membranes
Because of the charged ammonium group, acetylcholine does not penetrate lipid membranes
doi: 10.1016/j.biortech.2006.06.006
However, these effects may be gender-specific, being potentially less likely to occur in men
