Trimethylamine N Oxide: The Good, the Bad and the Unknown 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. Full article: Gutheart axis: emerging therapies targeting trimethylamine N oxide production
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l-carnitine side effect fishy odor trimethylamine Treatments of trimethylaminuria: where we are and where we might be heading