l carnitine side effects fishy smell L-carnitine supplements can cause a odor in the breath, sweat, and urine. This is likely due to the formation of trimethylamine (TMA). TMA is also responsible for the pungent of How to Not Get Fishy
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In addition, two meta-analyses of RCTs has been performed to assess the therapeutic effects of L-C in the secondary prevention of cardiovascular disease [8, 9], but there is no meta-analysis of RCTs in CHF
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