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The existing human data comes from anti-doping case reports and emergency room presentations

"In elite sport, under-fueling can quickly become a performance-limiting factor," Gross said

We stated it was also unclear whether the CAM can be removed and replaced by other products, and whether there are any requirements for its utilization

They also noted that meat eaters could be given a type of antibiotics to kill off these L-carnitine-metabolizing bacteria didn't accumulate as high levels of TMAO in their blood, though we wouldn't recommend taking antibacterials just so you can go on a steak binge

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