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 L Carnitine: Benefits, Risks, and Its Role in Fitness and Weight Loss WellnessPulse Does L Carnitine Work for Fat Loss? A Dietitian Explains L Carnitine: Everything You Need to Know Fish odour syndrome CMAJ
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l-carnitine fishy body odor side effect Comparison of short-term and long-term effects of peroral L-carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications