L carnitine supplements can cause a fishy odor in the breath, sweat, and urine. This is likely due to the formation of trimethylamine (TMA). TMA is also responsible for the pungent smell of Frontiers The role of trimethylamine N oxide in disease pathogenesis and the therapeutic potential of traditional Chinese medicine Human model of primary carnitine deficiency cardiomyopathy reveals ferroptosis as a novel mechanism: Stem Cell Reports Potential Adverse Effects of L Carnitine Marnys
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