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Primary and secondary deficiencies are rare but pose serious health risks

Numerous later studies have shown the association between increased plasma TMAO levels with a higher risk of cardiovascular events [63,64,65,66]

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Low carnitine status is generally due to impaired mitochondrial energy metabolism or to carnitine not being efficiently reabsorbed by the kidneys

Koozehchian, M.S., Daneshfar, A., Fallah, E., Agah-Alinejad, H., Samadi, M., Kaviani, M
