why does l carnitine make you smell fishy fish smell from l-carnitine L Carnitine Avoid Fishy Smell Did You Know?
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Ann N Y Acad Sci

This clinical trial was performed on 60 children with congenital heart disease (CHD) who underwent open-heart surgery
Bast, Jr, MD, Donald W Kufe, MD, Raphael E Pollock, MD, PhD, Ralph R Weichselbaum, MD, James F Holland, MD, ScD (hc), and Emil Frei, III, MD

The dose is then increased in 2.5 mg increments every 4 weeks as tolerated, with typical maintenance doses ranging from 5 mg to 15 mg

Neurochem Int 61:100107 Soetekouw PM, Wevers RA, Vreken P, Elving LD, Janssen AJ, van der Veen Y, Bleijenberg G, van der Meer JW (2000) Normal carnitine levels in patients with chronic fatigue syndrome