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As a result, levels of L-carnitine tend to vary among people and eating habits

This pattern holds biological significance in PD in that it suggests that disease- or treatment-related effects may exert selective pressure on the microbial network in the gut without necessarily lowering the overall number of microbial species present, thereby exerting an influence on GBA signaling and L-DOPA metabolism

New Trends Clin Neuropharmacol 1989;3(4):225-230