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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, Uses, and Side Effects Lifespan Research Institute FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment. Liquid Carnitine 3000
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