l-carnitine causing fishy body odour Does cause odor? Surprising Truth and Solutions L-Carnitine in the Treatment of
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doi: 10.1124/mol.106.024158

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This could be caused by d-carnitine itself, or indirectly by the lipotoxicity it induced, which is the result of excess fat deposition

Levels greater than 7 ng/mL and 13 ng/mL may be needed to optimally prevent elevated homocysteine and neural tube defects, respectively, per some research
