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Indeed, the total plasma concentration (free carnitine + acylcarnitine) is only 4585 mol/l

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4.3 Impact of TMAO on T lymphocytes TMAO can enhance the activation of effector T cells, shown in increased percentages of IFN- + TNF- + CD8 + and CD4 + T cells, and upregulated CD44 expression on CD8 + and CD4 + T cells

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