Dietary allicin reduces transformation of L carnitine to TMAO through impact on gut microbiota ScienceDirect From Gut to Heart: Targeting Trimethylamine N Oxide as a Novel Strategy in Heart Failure Management Dietary bioactive ingredients to modulate the gut microbiota derived metabolite TMAO. New opportunities for functional food development Food & Function (RSC Publishing) DOI:10.1039 D0FO01237H View of The origin of trimethylamine N oxide (TMAO) and its role in development of atherosclerosis Journal of Food Bioactives In a meta analysis of 21 RCTs, L carnitine supplementation improved several outcomes related to cardiometabolic health in people with type 2 diabetes. However, the certainty of the evidence and the clinical importance of L carnitine effects, side effects, deficiency VitaminExpress