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 Trimethylaminuria: Definition, symptoms, and more Cardiovascular risk of dietary trimethylamine oxide precursors and the therapeutic potential of resveratrol and its derivatives Hou 2024 FEBS Open Bio Wiley Online Library Trimethylamine N Oxide in Aquatic Foods Journal of Agricultural and Food Chemistry Gut microbiota metabolism of l carnitine and cardiovascular risk ScienceDirect Potential Adverse Effects of L Carnitine Marnys
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l-carnitine side effects fishy odor trimethylamine L-Carnitine | Linus Pauling Institute