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Description
Some people might notice a fishy smell as a result of bacteria in the bowel breaking down the unabsorbed L-carnitine

doi:10.1016/j.pop.2013.02.009

Clinical, morphologic, biochemical, and pathophysiologic features

However, people with hypothyroidism, or underactive thyroid, should avoid L-carnitine since their levels of thyroid hormone are already too low and L-carnitine may lower them even further
2018;23(1):p

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