Does L Carnitine Help with Erectile Dysfunction? 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 smell of L Carnitine Powder (Carnipure) Liquid EVO L Carnitine 3000 HSN Sportseries Acetyl L carnitine is a white crystalline solid that resembles snow. It has a mild odor similar to vinegar. It is a metabolite of L carnitine, derived from the amino acid L lysine in a series