l carnitine fishy odor side effect trimethylamine FISH SYNDROME (TRIMETHYLAMINURIA), Causes, Signs and Symptoms, Diagnosis and Treatment Kelly Fidoe-White lives with Trimethylaminuria

doi: 10.1111/j.1600-0404.1985.tb00854.x

This results in the accumulation of acetyl-CoA, which has two fates

Disorders of fatty acid oxidation and organic acidemias can lead to secondary carnitine deficiency by trapping free carnitine by conjugating it with acyl moieties which accumulate in these conditions

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Additionally, after the intake of acetylcarnitine, we observed an increase in the urinary carnitine level, but this effect was less pronounced since the increase in the acetylcarnitine concentration in the plasma and urine after acetylcarnitine intake was relatively low