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Some researchers suggest that it inhibits an enzyme variant related to COX-2 in the brain, which produces pain and inflammation signaling molecules, thus reducing pain sensation

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Drug-induced cholestasis

PMID: 37120548 14 L-Carnitine Supplementation Increases Trimethylamine-N-Oxide but not Markers of Atherosclerosis in Healthy Aged Women

doi: 10.3390/nu14061284 158