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Carnitine in Bipolar Disorder Bipolar disorder (BD) is a chronic mental illness characterized by severe bipolar changes, ranging from extreme excitement or mania to severe depression

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Brain Behav Immun 80:109119

As discussed previously, carnitine plays an essential role in intracellular and interorgan trafficking of fatty acids and buffering the acylCoA/CoA ratio

But for those with certain liver enzyme differences or microbiomes that favor TMA production, the risk is tangible and manageable
