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Statements Author contributions BYW and JQZ designed the manuscript

Peripheral smear This test involves examining your red and white blood cells and your platelets under a microscope, and can give insight into blood cell and platelet size, as well as any changes in the blood cells and platelets

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However, high-dose L-carnitine therapy provides a massive amount of fuel for gut bacteria, causing them to produce more TMA than the livers FMO3 enzymes can process at one time [12] [13]

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