Acetyl L Carnitine: Benefits and Side Effects Gene Food TMAU: Diet to reduce a fishy odour Dietitian's Life PDF) [L carnitine treatment and fish odor syndrome: an unwaited adverse effect]. 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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