l carnitine side effects fishy smell L-carnitine supplements can cause a 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 Carnitine: the claims and why

Because of that increased blood flow, more oxygen and nutrients are delivered throughout the body, which may help accelerate muscle recovery, reduce pain and swelling and increase future athletic performance

In a study looking at individuals already taking vitamin C supplementations for various reasons, Hazan et al

Anatomic and functional brain imaging in Alzheimer's disease

(Thorns, 2000)

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But, to be fair, the L-citrulline in this prescription appears to play more of a supporting role than a main one