Trimethylamine N oxide, choline and its metabolites are associated with the risk of non alcoholic fatty liver disease British Journal of Nutrition Cambridge Core Differential effects of oral and intravenous L carnitine on serum lipids: is the microbiota the answer? Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications This #GUTRecentAdvancesInBasicScience review synthesises emerging evidence linking the microbiome to cardiovascular disease, highlighting shared inflammatory and metabolic pathways. Fusco et al. present Gut microbiota and atherosclerosis access it Full article: Gut microbes with the gbu genes determine TMAO production from L carnitine intake and serve as a biomarker for precision nutrition Carnitine, Choline, Cancer and Cholesterol: The TMAO Connection YouTube