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Because a significant portion of oral carnitine remains unabsorbed in the gastrointestinal tract, it interacts heavily with the gut microbiome

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Antioxidant and immunomodulatory action: Protects the body against oxidative stress, while boosting the immune system

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Ameen C, Edvardsson U, Ljungberg A, Asp L, Akerblad P, Tuneld A, Olofsson SO, Linden D, Oscarsson J (2005) Activation of peroxisome proliferator-activated receptor alpha increases the expression and activity of microsomal triglyceride transfer protein in the liver