What have we here? A man or a fish? The Lancet 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: Benefits, Uses, Side Effects, and More Vaginal epithelial dysfunction is mediated by the microbiome, metabolome, and mTOR signaling: Cell Reports
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acetyl-l-carnitine side effects fishy odor trimethylamine L-Carnitine | Linus Pauling Institute