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In addition, the researchers propose, other factors also may contribute, such as certain medications, minor illnesses (especially gastrointestinal conditions) and perhaps changes in the microbiome that might deplete carnitine from the body

It is important to underline that, for each item, a code was assigned following the food classification system FoodEx2 developed by EFSA [151], to allow standardization and harmonization of the data among different countries

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What the science says Work beginning in 2013 mapped a gut microbe pathway that converts L-carnitine to TMA