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A distinctive fish-like odor of breath, sweat, or urine may emerge as trimethylamine metabolites are excreted
Anton R, Boskou SBD, Castle L, et al
Pharmacol Rev 2002;54:589-98
For this specific variant, temperature increases, such as having a fever, exposure to a sauna, or during heatstroke, can cause the CPT2 enzyme not to function
