L Carnitine: Benefits, Uses, and Side Effects Lifespan Research Institute 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 Acetyl L Carnitine Powder Fullscript Did You Know? Some people report a fishy smell after supplementing with L carnitine. This happens because certain gut bacteria convert carnitine to trimethylamine, a malodorous compound found in rotting fish. Acetyl L Carnitine 500mg Cognitive Support Carlson
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