CUD Deficiency Primary Carnitine Deficiency 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. Acetyl L Carnitine and Erectile Dysfunction: What the Evidence Shows 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. Exploring the Efficacy of Carnitine as a Dietary Supplement