Emerging role of trimethylamine N oxide (TMAO) in colorectal cancer Applied Microbiology and Biotechnology Springer Nature Link Investigating the Association between Low Trimethylamine N Oxide Level TACG Dove Medical Press Breakthrough in studying the enzyme that ultimately produces fish odour syndrome Comparison of short term and long term effects of peroral L carnitine intake: clinical implications of elevated TMAO levels in cardiovascular complications 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 Human model of primary carnitine deficiency cardiomyopathy reveals ferroptosis as a novel mechanism: Stem Cell Reports