Trimethylaminuria: Definition, symptoms, and more Did You Know? Some people report a fishy smell after supplementing with L carnitine. This happens because certain gut bacteria convert carnitine to trimethylamine, a malodorous compound found in rotting fish. Malodorous biogenic amines in Escherichia coli caused urinary tract infections in womena metabolomics approach Scientific Reports Stabilizing the enzyme in fish odor syndrome
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l-carnitine side effects fishy odor trimethylamine L-Carnitine | Linus Pauling Institute