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Since then mechanistic studies, animal models and human feeding studies have confirmed that ingestion of L-carnitine, choline and similar compounds raises urinary and breath levels of TMA and TMAO in many people

doi: 10.1186/s12967-023-03956-4

Drug Interactions L-Carnitine (Carnicor) may increase the effects of certain anticoagulants such as acenocoumarol, warfarin and heparin

PMID: 39683637 13 Increased risk of sudden death in untreated primary carnitine deficiency