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Furthermore, the catabolism of D-serine in the urinary tract has been identified as a key signalling mechanism for virulence gene expression 40,41,42

Changing patterns of infant death over the last 100 years: autopsy experience from a specialist children's hospital

Extensive anaerobic subculturing of human feces identified no single commensal capable of l-carnitineTMA transformation, multiple community members that converted l-carnitine to BB, and only 1 Clostridiales bacterium, Emergencia timonensis , that converted BB to TMA

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This aspect of L-carnitine is particularly beneficial for long-term cellular health and function