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2021 ESC Guidelines on cardiovascular disease prevention in clinical practice

The anti-inflammatory and antifibrotic properties of L-carnitine derive from its ability to cause upregulation of peroxisome proliferator-activated receptor- (PPAR ) which can inhibit expression of proinflammatory cytokines (TGF-1, TNF- , and IL-1) [68]

Both substances are components of lecithin, which belongs to the group of phospholipids.Choline also contributes to a normal homocysteine level, fat metabolism and supports liver function