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Yes especially those with cardiovascular risk, diabetes, or metabolic issues

doi: 10.1089/rej.2008.0716 245 MiottoGRossettoMDi PaoloMLOrianLVenerandoRRoveriAet al

5 Overview of different long-chain fatty acid oxidation disorders 5.1 Disorders of carnitine transport 5.1.1 Primary carnitine deficiency / organic cation transporter 2 (OCTN2) deficiency / carnitine transporter disorder (CTD) Clinical presentation Patients with systemic primary carnitine deficiency (also known as OCTN2 deficiency or CTD

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The compound itself is not smelly, but gut microbes can turn it into trimethylamine or TMA, a gas that smells like fish