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These bacteria convert the unabsorbed L-carnitine into TMA, a volatile gas that has a distinct fishy smell [8] [9]

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This newborn screening (NBS) uses absolute measurements and ratios of acylcarnitine levels in dried bloodspots to identify conditions that result in an imbalance in (acyl)carnitine blood levels

Hawley JA, Brouns F, Jeukendrup A
