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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 FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment. Trimethylaminuria (Fish Odor Syndrome or TMAU) L Carnitine Side Effects: What's Real (2026) Does L carnitine cause fishy body odor? Surprising Truth and Solutions Tonum

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