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FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment. 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 Get Rid of Fishy L Carnitine Smell: Essential Fixes Tonum fishy smell from l carnitine Why does L Carnitine cause a fishy smell ? Trimethylamine Wikipedia

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