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Thyroid hormone regulation of hepatic lipid and carbohydrate metabolism
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In addition, TMAO induces several inflammatory pathways, which cause the activation of pro-inflammatory cytokines such as IL-6 and TNF- which causes chronic inflammation thereby causing plaque formation and plaque rupture leading to cardiovascular disease [71]

That means our bodies can make it

Taking L-carnitine by mouth or giving L-carnitine intravenously might improve markers of anemia and inflammation in people with this condition
