l-carnitine base factory L-Carnitine, Free Base, 25g, Each fueling exercise and supporting post L-Carnitine for Fat Loss, Energy,

These LCACs enhance the ability of RAW264.7 cells to phagocytose lipids by upregulating macrophage receptor with collagenous structure (MARCO), thereby aggravating the accumulation of intracellular lipids, which promotes the formation of foam cells and accelerates the development of atherosclerosis [228]

There are other supplements which can support metabolic health by improving mitochondrial function the right combination depends on each patients specific presentation and priorities

Implication of trimethylamine N-oxide (TMAO) in disease: potential biomarker or new therapeutic target

Usefulness of Lcarnitine, a naturally occurring peripheral antagonist of thyroid hormone action, in iatrogenic hyperthyroidism: a randomized, double-blind, placebo-controlled clinical trial

That said, this is relatively rare