does acetyl l carnitine cause atherosclerosis Comparison of short-term and long-term effects of peroral -carnitine intake: clinical implications of elevated TMAO levels in Frontiers | The effect of
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10.1186/s12940-020-00583-0 114 PogrmicK.FaS.DakicV.KaisarevicS.KovacevicR

More than 30 years ago, we set out to help people understand how their body systems work in harmony to achieve healthy balance

Kim et al., 2020

The honest summary: this is a theoretical concern based on mechanism, not a documented adverse event
