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Moreover, in mice we observed that chronic l-carnitine supplementation resulted in markedly elevated plasma BB levels (more so than l-carnitine or TMAO), and it was the first step of the overall gut microbial catabolic pathway (i.e., l-carnitineBB) that was induced in mice following chronic l-carnitine dietary exposure (26)

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At 500 mcg per day, one vial lasts approximately 3 months