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Why does L Carnitine cause a fishy smell? L Carnitine Side Effects & Safety: A Complete Guide Trimethylaminuria (Fish Odor Syndrome or TMAU) FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment. 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 side effect fishy odor trimethylamine Comparison of short term and long term effects of

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