Frontiers Gut Metabolite Trimethylamine N Oxide in Atherosclerosis: From Mechanism to Therapy 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. Trimethylamine N Oxide in Relation to Cardiometabolic HealthCause or Effect ? What have we here? A man or a fish? The Lancet
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l-carnitine side effect fishy odor trimethylamine L-Carnitine | Linus Pauling Institute