"Not FDA-approved" just means the FDA hasn't reviewed or signed off on its safety, efficacy, dosing, or manufacturing for people
Red meat ingestion reduced fractional renal excretion of TMAO, but increased fractional renal excretion of carnitine and two additional gut microbiota-generated metabolites of carnitine: c-butyrobetaine, and crotonobetaine
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More research is needed to understand its full benefits and safety
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Additionally, a comprehensive review of studies on anemics with end-stage kidney disease showed that vitamin C supplementation improved hemoglobin concentrations and reduced their average dose of erythropoietin (Deved 2009)