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Description
Over-the-counter supplements are not recommended, as they lack the regulated purity and strict dosing accuracy required to safely manage a metabolic condition [9] [10]

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Propionyl-L-Carnitine supports blood flow and cardiovascular function

3.1 Gut microbiota: primary producers of trimethylamine Gut microbiota, particularly Firmicutes and Proteobacteria , are key mediators of TMA production through distinct enzymatic pathways (51, 52)

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Second, a moderate dose of L-carnitine and a relatively short intervention period (7 days) were employed, potentially influencing the observed outcomes
