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Clinical Outlook: While we cannot yet order this as a routine risk panel, it validates the importance of monitoring vascular health biomarkers in patients aged 4060
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Gut microbes can use carnitine and acylcarnitine as carbon sources, nitrogen sources, osmotic protectants or electron acceptors, but the gut microbiota cannot synthesize carnitine itself, and the mitochondrial function of acylcarnitine produced by carnitine palmitoyltransferase has not been observed in prokaryotes [230]
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