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the (R)-4-chloro-3-hydroxy butyric acid alkyl ester is reacted with trimethylamine and then the reaction product is treated with hydrochloric acid to thereby prepare L-carnitine hydrochloride which is then reacted with acetic acid containing acetyl chloride to prepare acetyl L-carnitine hydrochloride

Release Through the Skin and Breath: Because the liver cannot keep up with the excess TMA, the strong-smelling compound circulates in the bloodstream and is expelled from the body through sweat, breath, and urine [10] [14]

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Kidney Function: The kidneys may also be affected by certain ingredients, impacting their proper functioning over time

A case study highlighting how the IgG Food MAP profile identified food sensitivities as the cause of digestive issues