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Trimethylaminuria

by Alike Medical Team ∙ Updated on June 13, 2023

General

Trimethylaminuria is a rare condition characterized by the body’s inability to break down a chemical called trimethylamine due to a mutation in the enzyme which breaks it down. This chemical smells like a rotting fish, causing a very bad body smell.

5 people with Trimethylaminuria are on Alike.

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Signs & symptoms

Symptoms include fishlike odor from the breath, sweat, urine and reproductive fluids. Some conditions make the smell worse such as exerice, stress and menstruation in women.

Diagnosis

Diagnosis is based upon findings from medical history and physical examination. Further evaluation may include a urine test, and genetic tensting.

Treatment

There is no cure for the disorder, but people may reduce the odor by avoiding foods that contain choline such as egg, liver, kidney, beans, peanuts, peas, soy products and more.

Note

☝ We provide information on prescription and over-the-counter medicines, diagnosis, procedures and lab tests. This material is provided for educational purposes only and is not medical advice, diagnosis or treatment.

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