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doi: 10.1016/j.bbadis.2013.01.008 50 DumanR

These results indicate that BB is a major gut microbial metabolite formed from oral l-carnitine in humans (for both omnivores and vegans/vegetarians)

Over time, this can contribute to fatigue, metabolic slowdown, and difficulty maintaining weight loss once medication is discontinued

Overall, they tend to eat fewer calories due to reduced appetite and less food noise, which may lead to more snacking

Oral medicine case book 66: Physiological/racial oral melanin hyperpigmentation.SADJ: Journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging