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Alopecia is multifactorial: androgen-driven miniaturization, inflammation, microbial overgrowth, and vascular insufficiency can all contribute

This can happen because of slowed function with MTHFR, MTR, or CBS enzymes

The process works like this: intestinal microbiota convert levocarnitine to trimethylamine (TMA), which then travels to the liver where the enzyme FMO3 oxidizes it to TMAO

Phytomedicine 128, 155464

L-Ornithine is distinct from L-Arginine and L-Citrulline as it is not involved with nitric oxide production, but L-Ornithine buffers ammonia reducing fatigue associated with exercise

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