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It is caused by hypophosphatemia as a result of renal tubular dysfunction (Kim et al., 2013

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massiliensis were identified as potential key players for converting carnitine to TMA in the human gut

Cal LA, Pagnin E, Davis PA, Semplicini A, Nicolai R, Calvani M, Pessina AC (2006) Antioxidant effect of L-carnitine and its short chain esters: relevance for the protection from oxidative stress related cardiovascular damage