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They can enhance the growth of some beneficial bacterial populations like Bifidobacterium spp., consequently correcting microbiota imbalance [121]

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Genetic Influences and Complex Pathways The gut microbiotas first step in converting unabsorbed carnitine into TMA is generation of the intermediate gamma-butyrobetaine (GBB), which has been shown to be atherogenic in mice, although research in humans is inconclusive