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. CUD Deficiency Primary Carnitine Deficiency L Carnitine Injection Levocarnitine IV Exploring the Efficacy of Carnitine as a Dietary Supplement 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.