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Continuation of daily l-carnitine supplementation for at least an additional month resulted in no further increase in d 3 -l-carnitined 3 -TMAO transformation in omnivores, but continued to increase d 3 -TMAO generation in vegans/vegetarians following oral d 3 -l-carnitine challenge (Figure 4A)
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However, the root cause approach also emphasizes getting the right kind of protein to fulfill our amino acid needs, optimizing low stomach acid levels, as well as addressing nutrient deficiencies and issues related to MTHFR gene variations