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Why does L Carnitine cause a fishy smell? Stabilizing the enzyme in fish odor syndrome 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 fishy smell from l carnitine Get Rid of Fishy L Carnitine Smell: Essential Fixes
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