Frontiers Gut Metabolite Trimethylamine N Oxide in Atherosclerosis: From Mechanism to Therapy Gut microbiota metabolism of l carnitine and cardiovascular risk ScienceDirect 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. Trimethylaminuria (Fish Odor Syndrome or TMAU)
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