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Can L Carnitine Cause Side Effects? Truth vs Myths Explained (2026 Guide) Carnitine Deficiency: What Is It, Causes, Symptoms, and More Osmosis l carnitine side effects fishy body odor ALCAR Supplement for Cognitive Function and Stamina 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. 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 Side Effects: What's Real (2026)

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