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Over prolonged periods, they might become less efficient at handling A but continue to generate proinflammatory cytokines

Reported and Theoretical Risks Mild transient headache or nausea reported in some early human studies

Moreover, the present studies reveal that the overall conversion of orally ingested l-carnitine to TMAO is a complex multistep process requiring an initial gut microbial l-carnitineBB conversion, followed by a second BBTMA transformation