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L Carnitine: Benefits, Uses, and Side Effects Lifespan Research Institute L Carnitine: Benefits, Uses, Risks, And Evidence Acibadem Hospitals Group l carnitine side effects fishy odor trimethylamine evidence Comparison of short term and long term of peroral intake: clinical implications of elevated TMAO levels in cardiovascular complications Stabilizing the enzyme in fish 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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