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L-carnitine serves as a precursor for palmitoyl-carnitine, a significant constituent of pulmonary surfactantthe essential lipoprotein complex crucial for maintaining alveolar stability and preventing atelectasis (71, 72)

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The Iliolumbar Ligament Does Not Have a Direct Nerve Supply. The Spine Scholar 2 (April 1, 2018): 15

Moreover, there might be other microbial contributors for converting BB to TMA which also requires to be elucidated [2]