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l-carnitine fishy odor trimethylamine side effect Breakthrough in studying the enzyme that ultimately produces fish syndrome FISH ODOR SYNDROME (TRIMETHYLAMINURIA), Causes,
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(PubMed) Gregory MJ, Schwartz GJ

The patient had made recent lifestyle changes, including a low-carbohydrate diet with a significant increase in protein intake

Soy protein-based formulas: recommendations for use in infant feeding
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