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It is reported to be useful in the treatment of cognition disorders in the elderly, perhaps due to its weak cholinergic properties

Moreover, in mice we observed that chronic l-carnitine supplementation resulted in markedly elevated plasma BB levels (more so than l-carnitine or TMAO), and it was the first step of the overall gut microbial catabolic pathway (i.e., l-carnitineBB) that was induced in mice following chronic l-carnitine dietary exposure (26)

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G., Rozanov, D

Acta Psychiatr Scand 127(2):94114 Cabrero A, Merlos M, Laguna JC, Carrera MV (2003) Down-regulation of acyl-coA oxidase gene expression and increased NF-KappaB activity in etomoxir-induced cardiac hypertrophy