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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 Trimethylamine Wikipedia l carnitine side effects fishy odor trimethylamine evidence Effect of dietary fiber on trimethylamine N oxide 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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