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IsmA has a role in the oxidation of coprostanol to coprostanone and cholesterol to 4-cholesten-3-one

doi: 10.1210/en.2012-1400 129 Hage HassanRPacheco de SousaACMahfouzRHainaultIBlachnio-ZabielskaABourronOet al

L-carnitine is the bioactive form and is a derivative of the amino acid L-lysine

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