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These observations indicate that d 9 -l-carnitine production from oral d 9 -BB occurs via a mechanism that is not suppressed by antibiotics, and are consistent with expected results from the endogenous l-carnitine biosynthetic pathway (i.e., host conversion of BB to l-carnitine during carnitine biosynthesis) (3234)

Eichler K, Bourgis F, Buchet A, Kleber HP, Mandrand-Berthelot MA: Molecular characterization of the cai operon necessary for carnitine metabolism in Escherichia coli

J Endocrinol

HMB, on the other hand, is anabolic and acts synergistically with creatine to enhance muscle growth 5

doi:10.1016/j.clnu.2022.02.022 Yu F, Qi S, Ji Y, Wang X, Fang S, Cao R

This study included 81 patients with chronic compression neuropathy of the lumbosacral or cervicobrachial region divided into three homogeneous treatment arms