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 Acetyl carnitine erectile dysfunction: What the evidence and real world use actually show Potential Adverse Effects of L Carnitine Marnys Carnitine and acetyl L carnitine Neuroneeds
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l-carnitine side effects fishy body odor Acetyl-L-Carnitine Allergy: Symptoms and Treatment Options (2026)