examine l carnitine Did You Know? ⁠ ⁠ Some people report a “fishy” smell after supplementing with L-carnitine. This happens because certain gut bacteria convert to trimethylamine, a malodorous compound found in rotting fish.⁠ ⁠ Carnitine Deficiency - an overview

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The features of this condition include a combination of liver disease and neurological and psychiatric problems

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Your doctor may recommend imaging studies such as fibroscan to assess liver stiffness or ultrasound to evaluate fat content, providing a more complete picture of your liver health than blood tests alone