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In addition, long-term and excessive consumption of red meat (rich in carnitine and choline) can increase TMAO production and reduce renal excretion (Wang et al., 2019)
Powell-WileyTMPoirierPBurkeLEDesprsJPGordon-LarsenPLavieCJet alObesity and cardiovascular disease: a scientific statement from the American Heart Association
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In fact, the suspicion that the cholesterol and saturated fat content of red meat may not be sufficiently high to account for observed risks has stimulated investigation of alternative disease-promoting exposures that accompany dietary meat ingestion, such as high salt content, or heterocyclic compounds generated during cooking 4,5
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