Can L Carnitine supplementation lead to liver dysfunction? Consensus L carnitine promotes liver regeneration after hepatectomy by enhancing lipid metabolism Journal of Translational Medicine Springer Nature Link Graphic representation of the effects of rifaximin and L carnitine on Download Scientific Diagram L carnitine is primarily synthesized in the liver from the amino acids lysine and methionine through a series of four enzymatic reactions, with the liver and kidneys converting the precursor butyrobetaine into active JCI l Carnitine in omnivorous diets induces an atherogenic gut microbial pathway in humans