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L-Carnitine is a naturally occurring amino acid derivative essential for the transport of long-chain fatty acids into the mitochondria, the energy-producing centers of cells

At its center, it contains a lysine-rich motif termed PEVK (abbreviated for proline, glutamate, valine, and lysine) which is believed to provide it the required elasticity acting as a spring

In another study on over 150 people, vegetarians, vegans, and those who adhered to a Mediterranean diet (rich in fruit, legumes, and vegetables) had lower TMAO levels [57]

Oxidative stress has been shown to be involved in hepatocarcinogenesis with telomerase activation or increased neovascularization [37], [38]

Famularo G, De Simone C, Trinchieri V, Mosca L