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Des recherches ont galement port sur la transformation de la L-carnitine alimentaire en TMAO par le microbiote intestinal

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The coenzyme is also important for the elongation and desaturation of fatty acids [20, 21], biosynthesis of cholesterol [22], hydroxylation of steroids and other polycyclic molecules including vitamin D [23], drugs metabolism by the cytochrome P450 [24], and ROS generation in phagocytic and inflammatory cell to counteract pathogens [25]