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 Do you or someone you love smell like fish? It could be Fish Odor Syndrome! #fishodorsyndrome #fishy #fishysmell #fishodor Trimethylaminuria: Definition, symptoms, and more Gut microbiota metabolism of l carnitine and cardiovascular risk ScienceDirect
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l-carnitine side effects fishy odor trimethylamine L-Carnitine | Linus Pauling Institute