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Why does L Carnitine cause a fishy smell? FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment. L Carnitine: Benefits, Uses, and Side Effects Lifespan Research Institute Stabilizing the enzyme in fish odor syndrome 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. 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

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