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ALC, propionyl- L -carnitine, L -carnitine L -tartrate, glycine propionyl- L -carnitine (GPLC), and L -carnitine fumarate all have different impacts on gut microbiota and TMAO synthesis, but ALC stands out due to its unique features

Hypermethylation silences genes that should be active (including tumor suppressors)

Pancreatic immunoreactive somatostatin release