Role of L carnitine in Cardiovascular Health: Literature Review Cureus 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. FMO3 (Metabolism) Stabilizing the enzyme in fish odor syndrome Can choline supplementation cause a fishy body odor? Consensus
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l-carnitine side effects fishy body odor trimethylamine Comparison of short-term and long-term effects of peroral L-carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications