l carnitine red blood cells Comprehensive review of the expanding roles of the pool in metabolic physiology: beyond fatty acid oxidation | Journal of Translational Medicine skin repair cream

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The first pathway represents the direct scission of the C-N bond in L -carnitine liberating TMA within the cecum and proximal large bowel, which is then converted into TMAO by host FMO3, as previously described (Koeth et al., 2013)