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Jinmiao L, Hao L, Qingtong Z, et al

The exact mechanism of berberine on glucose metabolism is still being investigated

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Robert A Koeth, Zeneng Wang, Bruce S Levison, Intestinal microbiota metabolism of L-carnitine, a nutrient in red meat, promotes atherosclerosis, 2013 Judith L Flanagan, Peter A Simmons, Role of carnitine in disease, 2010 .