why does l carnitine smell like 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 of Stabilizing the enzyme in fish

J Environ Sci 17:177180 Cheng J, Yang Y, Ma J, Wang W, Liu X, Sakamoto M, Qu Y, Shi W (2009) Assessing noxious effects of dietary exposure to methylmercury, PCBs and Se coexisting in environmentally contaminated rice in male mice

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Current clinical diagnosis primarily relies on proteinuria and glomerular filtration rate indicators, yet their insufficient sensitivity for early renal injury leads to high underdiagnosis rates of nonproteinuric DN