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Jerome et al

Some research has suggested a possible connection between L-carnitine supplementation and increased risk of atherosclerosis, a condition in which the arteries harden due to buildup of fats, cholesterol, and other substances

TMABA is then dehydrogenated into gamma-butyrobetaine in an NAD + -dependent reaction, catalyzed by TMABA dehydrogenase

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R Lango and others, Influence of L-carnitine and its derivatives on myocardial metabolism and function in ischemic heart disease and during cardiopulmonary bypass, Cardiovascular Research, Volume 51, Issue 1, July 2001, Pages 2129, 17