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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 fishy body odor side effect trimethylamine Trimethylamine N Oxide: The Good, the Bad and the Unknown How Do You Stop Fishy Body Odor from L Carnitine? Inciteful Med Resources L Carnitine: Benefits, Uses, and Side Effects Lifespan Research Institute L Carnitine Side Effects: What's Real (2026)

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