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Carnitine Deficiency: What Is It, Causes, Symptoms, and More Osmosis Studies that examine the effects of L carnitine in recovery after Download Table 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. In a meta analysis of 21 RCTs, L carnitine supplementation improved several outcomes related to cardiometabolic health in people with type 2 diabetes. However, the certainty of the evidence and the clinical importance of
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