does l carnitine smell like fish 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 of L-Carnitine 5000 – EC Sports

V.HabashiN.McCunnM.ShihD.McQuillanK.et al (2007)

The SURMOUNT-1 Phase 3 trial published in The New England Journal of Medicine enrolled 2,539 adults with obesity and demonstrated mean body weight reduction of 20.9% at 72 weeks on tirzepatide 15mg weekly versus 3.1% placebo

All common causes of acidosis, such as diabetic ketoacidosis, lactic acidosis and end-stage renal failure, were not applicable in this situation [12]

doi: 10.1152/jn.1996.75.3.1264

BPC-157 is the unusual exception

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