L Carnitine Linus Pauling Institute Oregon State University The effect of l carnitine supplementation on mortality and clinical outcomes in ventilator dependent critically ill patients with obesity and COVID 19: Protocol for a randomized double blind placebo controlled trial ScienceDirect 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 Trimethylaminuria: Definition, symptoms, and more Do you or someone you love smell like fish? It could be Fish Odor Syndrome! #fishodorsyndrome #fishy #fishysmell #fishodor