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The underlying mechanisms by which TMAO contributes to CVD remain unknown

In certain situations, cellular acyl-CoAs build-up as a result of an inborn error of fatty acid metabolism, and this also leads to an increase in acylcarnitines within the cell [12,14,15]

10.1038/s41467-020-15136-9 97 KongY.WuM.WanX.SunM.ZhangY.WuZ.et al (2023)

Carnitine, a naturally occurring compound synthesized in the liver and kidneys, plays a crucial role in energy metabolism by transporting fatty acids into mitochondria

Oxid Med Cell Longev (2014) 2014:798957