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High levels of choline, the source of TMAO, were associated with a 2.4-times greater incidence of the disease [29]

Telo ima odreenu koliinu karnitina i uglavnom je dovoljna za normalno funkcionisanje ali problem nije njegov totalni nedostatak, nego nedovoljno L karnitina u trenutku kada telo pokuava da sagoreva mast intenzivnije, ba tokom treninga ili dijete

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-Butyrobetaine Hydroxylase (BBOX) The final step in carnitine biosynthesis is the hydroxylation of -BB by BBOX, an enzyme localized in the mitochondria