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It is known that many individuals with trimethylaminuria often become vegans largely because eliminating dietary animal products rich in L-carnitine /choline/lecithin markedly reduces TMA production by their gut bacteria and so markedly reduces the associated odor

Practical examples: preventing odor in daily use For daily users of liquid L-carnitine, consider storing a bulk bottle in a cool place and decanting a small daily dose into a sealed, opaque container for immediate use

The different mutations in SLC22A5 probably give rise to differences in severity/onset of the disease