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 Injection Levocarnitine IV The Role of L Carnitine in Kidney Disease and Related Metabolic Dysfunctions Urine smells like fish: Causes and treatment
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l carnitine urine smell Urine smells like fish: Causes and treatment