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Recommendations to mitigate these concerns focus on moderating red meat intake, the primary source of carnitine, and encouraging dietary diversity

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Intestinal microorganisms metabolize TML into trimethyl-5-aminovaleric acid (TMAVA), which can competitively inhibit the binding of -BB to BBD, thereby inhibiting carnitine biosynthesis and FAO in the liver, promoting steatosis and aggravating fatty liver [250]