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Name: l carnitine fishy odor side effect trimethylamine L-Carnitine: Benefits, Uses, and Effects Trimethylaminuria: Definition, symptoms, and more
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Ma C, Cheng F, Wang X et al (2016) Erythropoietin pathway: a potential target for the treatment of depression

[5] It helps block adenosine from binding to its receptors -- this is important because adenosine is causes a downregulation in CNS activity, which leads to fatigue