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Other names for it include: stale fish syndrome fish odor syndrome fish malodor syndrome TMAU TMAuria Trimethylaminuria is typically caused by mutations to the Typically, FMO3 is responsible for the production of an enzyme that breaks down TMA into an odorless molecule

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Although the body can synthesize L-Carnitine itself, supplementing it may be beneficial in the following cases: Inherited or acquired deficiency e.g

Sample preparation Extraction and quantification of free carnitine and acylcarnitines from the DBS cards were done using a NeoMass AAAC kit (Labsystems Diagnostics Oy, Vantaa, Finland) according to the manufacturers instructions