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Trimethylaminuria seems to be Females may experience more severe symptoms: just before menstruation during menstruation after taking oral contraceptives around menopause Stress levels and diet People with trimethylaminuria do not usually have any symptoms other than a fishlike odor, and the disorder does not cause any other physical health issues
Nutrients, 10 (11)
In some cases, additional adrenal testing and protocols may be indicated, but I know its often challenging to find a practitioner who will test for adrenal dysfunction, yet alone a practitioner who can give you a proper protocol for recovering your stress response
The bioavailability of supplemental acetyl-L-carnitine has not been as well studied, though some evidence suggests slightly higher circulating concentrations compared to equivalent L-carnitine doses, with peak plasma levels typically achieved 24 hours after oral administration [5][12]
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