Low Bioavailability and High TMAO Production: Novel Insights Into Acetylcarnitine and Carnitine Metabolism KrimsDavis 2025 Molecular Nutrition & Food Research Wiley Online Library JCDR Flavin containing monooxygenase 3, Fish odour syndrome, Genetic mutations, Metabolic disorder, Olfactory reference syndrome Intestinal microbiota metabolism of l carnitine, a nutrient in red meat, promotes atherosclerosis Nature Medicine 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. Trimethylamine N oxide (TMAO) as a prognostic marker among patients at nutritional risk. A secondary analysis of the randomized clinical trial EFFORT European Journal of Clinical Nutrition
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