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This is due to a metabolic byproduct of L-carnitine, trimethylamine (TMA), which is excreted through sweat, breath, and urine

In the renal impairment study, this was in part owing to disruption by the COVID-19 pandemic, with temporary closure of the two study centres

The increased secretion of immune-stimulatory cytokines (IFN-, TNF-, IL-2) and the reduced levels of immunosuppressive IL-10 further confirmed the vigorous immunological response (Fig

doi: 10.3390/medicina57101030 34 MaesMTwiskFNM