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This multi-step process involves -N-methyltransferasemediated methylation of lysine to form trimethyllysine (TML), followed by sequential oxidation, hydroxylation, and cleavage to generate -butyrobetaine, which is finally hydroxylated by -butyrobetaine hydroxylase (BBOX) to yield free carnitine

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[DOI] [PubMed] [Google Scholar] 169.Pljesa-Ercegovac M., Savic-Radojevic A., Matic M., et al

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For many people, combining both ingredients as part of a consistent skincare and wellness routine offers the most balanced approach to achieving healthier-looking skin over time.