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Koeth RA, Lam-Galvez BR, Kirsop J, Wang Z, Levison BS, Gu X, Copeland MF, Bartlett D, Cody DB, Dai HJ, Culley MK, Li XS, Fu X, Wu Y, Li L, DiDonato JA, Tang WHW, Garcia-Garcia JC, Hazen SL (2019) l-Carnitine in omnivorous diets induces an atherogenic gut microbial pathway in humans

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Cosmetic is not approved drug. Preclinical is not proven in humans. And a blend of four things with animal-level evidence does not become clinically validated by virtue of being mixed together