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Some people may have lower B-12 levels due to medication effects or reduced intake

Nature Medicine 2015

CARNITINE TRANSPORT AND FATTY ACID OXIDATION

Result: cellular aging is slowed, cognitive and cardiovascular functions are protected, and oxidative stress is reduced

Furthermore, a fact that has attracted attention in recent years is that dietary L-carnitine appears to cause the acceleration of atherosclerosis, owing to its conversion in the body to trimethylamine (TMA) and trimethylamine-N-oxide (TMAO) by enteric bacteria 19