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Some bacteria in the gut convert carnitine into trimethylamine (TMA), which has a strong fishy odor that can come out through sweat and breath
Bernstein SH, Lin B, Hilchey S, Villaluna N, Chen L, Madura K, Morse K, Metcalf H, Andreeff M , Brookes PS, Suzuki CK
In PIONEER 6, unadjudicated DRP occurred in 5.8% of oral semaglutide-treated patients and in 4.8% of the placebo-treated patients ( Villsbol and colleagues further investigated the DRP signal in the SUSTAIN program (122)
Diabetes Care 44(10):22312237
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