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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 Breakthrough in studying the enzyme that ultimately produces fish odor syndrome EurekAlert! What have we here? A man or a fish? The Lancet Trimethylamine Wikipedia L Carnitine Side Effects: What's Real (2026) L Carnitine: Benefits, Uses, and Side Effects Lifespan Research Institute

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