Betaine can increase the expression of fibroblast growth factor 21 in the liver (Reference Zeisel38) , thereby enhancing the oxidation of fatty acids
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Jun 30 2021;26(2):109-120
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Furthermore, unabsorbed carnitine is metabolized by gut bacteria into trimethylamine (TMA), which is converted to trimethylamine-N-oxide (TMAO) in the livera metabolite linked to increased cardiovascular risk [4] [9]
