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 Emerging role of trimethylamine N oxide (TMAO) in colorectal cancer Applied Microbiology and Biotechnology Springer Nature Link Potential Adverse Effects of L Carnitine Marnys Trimethylamine N Oxide in Aquatic Foods Journal of Agricultural and Food Chemistry
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l-carnitine side effects fishy odor trimethylamine L-Carnitine | Linus Pauling Institute