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Concomitant use with serotonergic agents can result in serotonergic effects, including serotonin syndrome, which should trigger discontinuation of the product

Notably, trimethylamine N-oxide (TMAO) and bile acids are prominent metabolites in this context

(2022) 8:eabq5925

Abstract Background L-carnitine (LC), and its acetylated form, acetyl L-carnitine (ALC), have immense functional capabilities to regulate the oxidative and metabolic status of the female reproductive system