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They may order genetic tests to find out if you have primary (inherited) or secondary trimethylaminuria

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Carnitine, Acylcarnitines and -Oxidation of Fatty Acids The quaternary ammonium compound and amino acid carnitine (L-3-hydroxy-4-aminobutyrobetaine or L-3-hydroxy-4- N- trimethylaminobutanoic acid) and its acyl esters (acylcarnitines) have many important functions in animals, plants and some microorganisms

Li L, Liu Y, Zhi N, Ji Y, Xu J, Mao G, et al

10.1017/S1461145704004596 38
