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 Compounded Carnitine (L) Injection Empower Pharmacy Revisiting the Role of Carnitine in Heart Disease Through the Lens of the Gut Microbiota Does L Carnitine Work for Fat Loss? A Dietitian Explains What Is L Carnitine? How Could It Help With Weight Management? Wellness Hub
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does l carnitine cause fishy smell 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.