10 Common Causes of Smelly Urine
Article Sources
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Trimethylaminuria
A rare disorder, trimethylaminuria occurs when the body cannot break down triethylamine. This chemical may cause an unpleasant, fishy odor in a person's perspiration, breath and urine. Most cases of trimethylaminuria are genetic. Management involves limiting the intake of foods containing lecithin and choline and using an antibiotic, such as metronidazole.
Another form of trimethylaminuria may develop when a person uses large quantities of the amino-acid derivative L-carnitine (levocarnitine) or choline. In this case, reducing intake of these substances resolves the symptoms.11‘Trimethylaminuria.’ NORD (National Organization for Rare Disorders), 21 Oct. 2020, rarediseases.org/rare-diseases/trimethylaminuria/
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