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Data Availability Available from the corresponding author on reasonable request

Trimethylaminuria seems to be Females may experience more severe symptoms: just before menstruation during menstruation after taking oral contraceptives around menopause Stress levels and diet People with trimethylaminuria do not usually have any symptoms other than a fishlike odor, and the disorder does not cause any other physical health issues

More recent trials have associated oral propionyl-L-carnitine supplementation (2 g/day for several months) with improved walking distance and claudication onset time (66, 67), as well as with higher pain-free walking distance and higher ankle-brachial index (a diagnostic measure of peripheral arterial disease) (68)