Trimethylamine N oxide: A harmful, protective or diagnostic marker in lifestyle diseases? ScienceDirect 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 Role of L carnitine in Cardiovascular Health: Literature Review Cureus TMAU: Diet to reduce a fishy odour Dietitian's Life When to take L carnitine: Dosage, forms, and side effects
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