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Usually, an enzyme breaks down trimethylamine as part of the digestion process

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-OH represents hydroxylation, such as C18:1-OH, 3-hydroxy octadecenoyl carnitine

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This paradoxical condition fulfils two fundamental tasks: (a) it provides the biosynthesis of FA important for cancer propagation, while ensuring an important source of ATP and Nicotinamide adenine dinucleotide (NADH) by the catabolism of any FA excess