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Trimethyllysine undergoes four enzymatic reactions in the course of endogenous L-carnitine biosynthesis (Figure 1)
It is involved in fat metabolism, provides antioxidant support and to promote healthy brain function.**

[163]) might be related to osmotic stress rather than pathological modification of the eye lens and that chronic aberration of osmotic pressure causes net loss of carnitine which can lead to triggering of cataracts

A plasma long-chain acylcarnitine predicts cardiovascular mortality in incident dialysis patients
