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PMID: 33247860 14 Unpleasant Smell: A Case Report of Trimethylaminuria (Fish Odour Syndrome) in a Child
The first enzyme of the urea cycle is CPS1, which catalyzes the conversion of ammonia, bicarbonate and adenosine triphosphate to carbamoylphosphate, the initial rate-limiting step of the urea cycle [1]
One caveat of the study is that the groups were not matched in sample size and lacked in randomization
