l-carnitine function transports long-chain fatty acids into mitochondria of carnitine in the transport of mitochondrial L-Carnitine in Mitochondria | Encyclopedia
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The novelty of this review lies in its comprehensive, bidirectional perspective, emphasizing shared inflammatory, autonomic, and microvascular mechanisms that unify cardiovascular and neurological diseases within a single pathophysiological paradigm

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In some cases, high doses of L-Carnitine can result in a side effect known as "fishy odour syndrome" or "fishy smell syndrome." The fishy smell occurs due to the metabolic breakdown of L-Carnitine into a compound called trimethylamine (TMA)

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doi: 10.3389/fendo.2021.735638 149 FontanaKCamposGERStaronRSda Cruz-HoflingMA
