Scientists make breakthrough in studying the enzyme involved in fish odor syndrome Acetyl L carnitine erectile dysfunction: What the evidence and real world use actually show Ever heard of Fish Odor Syndrome? Its a rare condition where the body cant break down trimethylamine a compound found in foods like fish, eggs, and beans. This leads to a strong, fish like smell Did You Know? Some people report a fishy smell after supplementing with L carnitine. This happens because certain gut bacteria convert carnitine to trimethylamine, a malodorous compound found in rotting fish. Frontiers Role of Carnitine in Non alcoholic Fatty Liver Disease and Other Related Diseases: An Update