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L Carnitine Side Effects & Safety: A Complete Guide 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 Can L Carnitine Cause Side Effects? Truth vs Myths Explained (2026 Guide) Stabilizing the enzyme in fish odor syndrome Trimethylaminuria: Definition, symptoms, and more
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