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Revisiting the Role of Carnitine in Heart Disease Through the Lens of the Gut Microbiota 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 L Carnitine: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews l carnitine fishy body odor Did You Know? Some people report a fishy smell
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