A 2016 study suggested L carnitine could drop a key cardiovascular risk marker by up to 12%, which sounded promising at first., But follow up research told a more complicated story, with inconsistent Exploring the Role of Gut Microbiota in Atherosclerosis and Novel Therapeutics to Mitigate the Disease ProcessA Comprehensive Review of Current Literature Bari 2026 International Journal of Microbiology Wiley Online Library Gut Microbiota and Its Metabolites in Atherosclerosis Development Butyrobetaine Is a Proatherogenic Intermediate in Gut Microbial Metabolism of L Carnitine to TMAO ScienceDirect
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