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 L Carnitine in Autism Spectrum Disorder Encyclopedia MDPI Development and Application of a UPLCMRMMS Method for Quantifying Trimethylamine, Trimethylamine N Oxide, and Related Metabolites in Individuals with and Without Metabolic Syndrome Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications
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