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Data Availability The data sets used or analyzed during the study are available from the corresponding author upon reasonable request

: L-Acetylcarnitine in dysthymic disorder in elderly patients: a double-blind, multicenter, controlled randomized study vs

assess the effect of L-carnitine on VLDL cholesterol level and no significant correlation was found.[] However, L-carnitine may change metabolic pathways from esterification in the liver and change TG synthesis to ALC, which can reduce the synthesis of TG and VLDL cholesterol.[] Also, catabolism of VLDL is reduced in individuals with diabetes, which is due to decreased activity of LPL in adipose tissue leading to augmented levels of TG in individuals with diabetes

However, a previous research revealed that TMA and TMAO levels were associated with an increased Firmicutes / Bacteroidetes ratio (49), which was consistent with the above findings