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It works best when combined with a healthy diet, regular exercise, and other lifestyle changes

"Imaging the electromechanical activity of the heart in vivo." Proc Natl Acad Sci U S A 108 (2011a): 8565-8570

This happens because the body breaks down L-Carnitine into trimethylamine (TMA), a compound with a distinct smell

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Figure 1 The hydroxyl group on carnitine can combine with organic acids or fatty acids to form different short-chain, medium-chain, and long-chain esters, namely ACs

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