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The functions of carnitine/acylcarnitine in signaling may differ according to the cell type and physiological state

Are there side effects of L-carnitine

The brain, sensing a drop in blood pressure and oxygen, initiates a "fight or flight" surge of adrenaline and norepinephrine, which causes the rapid, pounding heart rate (tachycardia), severe lightheadedness, and physical tremors associated with orthostatic intolerance

High dietary fiber intake modulates the gut microbiota composition, suppressing microbial enzymes like TMA lyases, which are responsible for converting dietary choline and carnitine into TMA, the precursor to TMAO