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Although the optimal dose of LC supplementation for myocardial infarction is 3 g/day in terms of all-cause mortality [90], even lower LC intake elevates fasting plasma TMAO [16,17,18, 58, 59], which is ten-fold higher than control after 3 months of supplementation [16, 17]

In contrast, chronic elevations in TMAO, a metabolite derived from LC, have been linked to an increased risk of atherosclerotic cardiovascular disease (ASCVD), particularly in older adults with compromised renal function [64, 65]

L-carnitine is produced in the liver and kidneys and is mainly stored in the skeletal muscles

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The average per cent change in hair loss was calculated in the following way: The per cent change in hair loss from the beginning of the study to its end was determined for each study subject