Materiały źródłowe

• #1 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #2 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  The management of TMAU focuses on minimizing the symptoms and improving the quality of life for affected individuals. While there is currently no cure for TMAU, various approaches can produce symptom management. A specific questionnaire for patients with TMAU has been developed to evaluate treatment efficacy; the tool includes questions about different aspects of health to address all disease consequences. The treatment options for TMAU include dietary modification, antibiotic therapy, activated charcoal administration, modifications to personal hygiene, and psychological support. […] Dietary modifications to reduce the intake of TMA precursors are often recommended. Foods rich in choline, carnitine, and TMAO should be limited or avoided. This may include reducing or eliminating the consumption of certain types of fish, red meats, liver, eggs, legumes, and specific vegetables. Working with a registered dietitian specializing in metabolic disorders can be beneficial in developing an appropriate dietary plan.

• #3 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Trimethylaminuria (TMAU, fish odor syndrome) is an uncommon condition that makes people smell like rotten fish. […] Theres no cure for TMAU. But healthcare providers may recommend that you change food choices, stress management techniques and medication to reduce symptoms. […] Eliminating egg, diary, cruciferous, seafood and fish oil supplements, liver and soy products may help with TMAU. […] Changing the kinds of food that you eat, using certain soaps and lotions, and managing stress can help reduce trimethylaminuria symptoms. […] Your healthcare provider may recommend avoiding certain foods that make your body produce the chemical that causes TMAU. They may also suggest using specific soaps and lotions to help remove the fishy smell from your skin. They may prescribe medication and mental health support.

• #4 Monell’s TMAU Legacy – Monell Chemical Senses Center

  https://monell.org/tmau/

  Currently there is no cure for TMAU, but treatment options, including avoidance of choline-containing foods, may help reduce odor production. […] This means that restricting your choline intake without having definitive biochemical TMAU testing and diagnosis could be detrimental to your health. Always consult your physician before trying to restrict dietary choline. […] Experts who have tackled the choline question to better understand TMAU recommend consulting a registered dietitian and/or a licensed nutritionist before making major changes in your diet.

• #5 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  The management of TMAU focuses on minimizing the symptoms and improving the quality of life for affected individuals. While there is currently no cure for TMAU, various approaches can produce symptom management. A specific questionnaire for patients with TMAU has been developed to evaluate treatment efficacy; the tool includes questions about different aspects of health to address all disease consequences. The treatment options for TMAU include dietary modification, antibiotic therapy, activated charcoal administration, modifications to personal hygiene, and psychological support. […] Dietary modifications to reduce the intake of TMA precursors are often recommended. Foods rich in choline, carnitine, and TMAO should be limited or avoided. This may include reducing or eliminating the consumption of certain types of fish, red meats, liver, eggs, legumes, and specific vegetables. Working with a registered dietitian specializing in metabolic disorders can be beneficial in developing an appropriate dietary plan.

• #6 Trimethylaminuria (’fish odour syndrome’) | Health Information from Mediclinic Pharmacy

  https://mediclinicpharmacy.com/nhs_conditions_trimethylaminuria

  Trimethylaminuria (TMAU) is an uncommon condition that causes an unpleasant, fishy smell. It’s also called „fish odour syndrome.” […] There’s currently no cure, but there are things that can help. […] There’s currently no cure for trimethylaminuria, but some things might help with the smell. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] Your doctor may recommend: short courses of antibiotics this can help reduce the amount of trimethylamine produced in your gut, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #7

  https://111.wales.nhs.uk/encyclopaedia/t/article/Trimethylaminuria(’fishodoursyndrome’)/

  There’s currently no cure for trimethylaminuria, but some things might help with the smell. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish freshwater fish is fine, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] It can also be helpful to: avoid strenuous exercise try gentle exercises that don’t make you sweat as much, try to find ways to relax stress can make your symptoms worse, wash your skin with slightly acidic soap or shampoo look for products with a pH of 5.5 to 6.5, use anti-perspirant, wash your clothes frequently. […] Your doctor may recommend: short courses of antibiotics this can help reduce the amount of trimethylamine produced in your gut, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #8 Trimethylaminuria – Wikipedia

  https://en.wikipedia.org/wiki/Trimethylaminuria

  There is no known permanent cure for primary trimethylaminuria, but symptoms can in most cases be managed via diet, and sometimes by certain supplements. […] Diet and supplement use should be overseen by medical professionals and nutritionists, as dietary restrictions can have other serious adverse health effects. […] Ways of reducing the fishy odor may include: […] Avoiding all seafood, including fish, shellfish, kelp, and seaweed. […] Reducing the consumption of foods and supplements that contain carnitine, such as red meat (beef, lamb and pork), liver, and offal. […] If not pregnant or breastfeeding, reducing the consumption of foods and supplements containing choline – fish, red meat, white meat, offal, egg yolks, legumes, beans, whey products, milk, and other foods that contain high levels of choline.

• #9 Trimethylaminuria: Understanding and Treating Fish Odor Syndrome

  https://www.healthline.com/health/trimethylaminuria

  Those with trimethylaminuria produce a body scent thats fish-like. Avoiding certain seafood and eggs can help you manage the smell but will not cure it. […] No cure currently exists for trimethylaminuria. However, you may be able to manage it by carefully choosing what foods you consume. […] Foods to avoid include those high in trimethylamine N-oxide and choline. They increase the amount of TMA in the body. […] Additionally, its important to avoid milk from wheat-fed cows. The milk may contain high amounts of TMA. Supplements containing lecithin can also make the fish odor worse. […] It may also be possible to reduce TMA levels by taking a small dose of antibiotics, a laxative to speed up digestion, certain supplements, like activated charcoal and copper chlorophyllin, riboflavin (vitamin B2) to help increase any existing FMO3 enzyme activity.

• #10 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #11 Trimethylaminuria (’fish odour syndrome’) – EM Doctors

  https://www.em-doctors.com/conditions/trimethylaminuria

  There’s currently no cure, but there are things that can help. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] It can also be helpful to: avoid strenuous exercise, try to find ways to relax, wash your skin with slightly acidic soap or shampoo, use anti-perspirant, wash your clothes frequently. […] Your doctor may recommend: short courses of antibiotics, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #12 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #13 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Your provider may prescribe the following medications to ease TMAU symptoms: Antibiotics and probiotics: These drugs help reduce bacteria in your gut, so your body doesnt produce as much of the chemical that causes TMAU. Activated charcoal: This drug binds to trimethylamine and moves it out of your system. Antidepressants and anti-anxiety medications: These drugs treat mental health issues that some people with TMAU develop. […] Your provider may recommend that you have mental health support like talking with a psychologist or counselor, particularly if youre dealing with self-esteem and body image issues. Mental health treatment may focus on coping strategies and ways to manage your stress. […] Trimethylaminuria is a chronic condition. There isnt a way to cure it and it doesnt go away on its own. But there are treatments and things you can do to reduce TMAU symptoms and the conditions impact on your life.

• #14 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  In some cases, low-dose antibiotics may be prescribed to reduce the population of TMA-producing bacteria in the gut. Antibiotics like neomycin and metronidazole have been used with varying degrees of success. However, long-term antibiotic use should be carefully monitored due to potential side effects and the risk of antibiotic resistance. […] Activated charcoal can absorb and reduce TMA levels in the gut. It may be used as a supplement to help minimize TMA production and absorption. However, its effectiveness can vary among individuals. […] Copper chlorophyllin, a chlorophyll derivative, has been used as a supplement to help reduce body odor. Copper chlorophyllin is believed to neutralize odor-causing compounds; its effectiveness in managing TMAU symptoms is still being investigated, and individual responses may vary.

• #15 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #16 Trimethylaminuria – Wikipedia

  https://en.wikipedia.org/wiki/Trimethylaminuria

  Vitamin B2 at 50 mg per day in combination with diet resolved smell issues for 2 children with TMAU. […] Taking low doses of antibiotics such as neomycin and metronidazole in order to reduce the amount of bacteria in the gut, although this is not recommended as a long term solution due to antibiotic resistance and other side effects. […] Additionally, at least one study has suggested that daily intake of the supplements activated charcoal and copper chlorophyllin may temporarily improve the quality of life of individuals afflicted with TMAU by helping their bodies to oxidize and convert TMA to the odorless N-oxide (TMAO) metabolite.

• #17 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  In some cases, low-dose antibiotics may be prescribed to reduce the population of TMA-producing bacteria in the gut. Antibiotics like neomycin and metronidazole have been used with varying degrees of success. However, long-term antibiotic use should be carefully monitored due to potential side effects and the risk of antibiotic resistance. […] Activated charcoal can absorb and reduce TMA levels in the gut. It may be used as a supplement to help minimize TMA production and absorption. However, its effectiveness can vary among individuals. […] Copper chlorophyllin, a chlorophyll derivative, has been used as a supplement to help reduce body odor. Copper chlorophyllin is believed to neutralize odor-causing compounds; its effectiveness in managing TMAU symptoms is still being investigated, and individual responses may vary.

• #18 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #19 Trimethylaminuria

  https://dermnetnz.org/topics/trimethylaminuria

  Counselling sufferers is a most important part of treatment as it acknowledges their medical condition and explains the cause. […] Dietary modification is the basis of treatment as avoidance of trimethylamine precursors reduces the body odour: Marine (sea- or salt-water) fish, including cephalopods and crustaceans, must be avoided completely as they have the highest concentration of the precursor trimethylamine N-oxide. Freshwater fish can be eaten. […] Some sufferers respond well to courses of neomycin, amoxicillin or metronidazole as these alter the bowel bacteria, reducing the production of trimethylamine. This will be particularly helpful in secondary trimethylaminuria due to bacterial overload and can be used in primary trimethylaminuria for important social situations or when dietary restriction cannot be maintained.

• #20 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  In some cases, low-dose antibiotics may be prescribed to reduce the population of TMA-producing bacteria in the gut. Antibiotics like neomycin and metronidazole have been used with varying degrees of success. However, long-term antibiotic use should be carefully monitored due to potential side effects and the risk of antibiotic resistance. […] Activated charcoal can absorb and reduce TMA levels in the gut. It may be used as a supplement to help minimize TMA production and absorption. However, its effectiveness can vary among individuals. […] Copper chlorophyllin, a chlorophyll derivative, has been used as a supplement to help reduce body odor. Copper chlorophyllin is believed to neutralize odor-causing compounds; its effectiveness in managing TMAU symptoms is still being investigated, and individual responses may vary.

• #21 A Review of Trimethylaminuria: (Fish Odor Syndrome)

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3848652/

  Yamazaki et al studied the ability of sequestering agents to improve FOS as determined by the oxidizing ratio in the urine. […] Another treatment, which exerts its effect in the gastrointestinal tract, is the use of antimicrobials. […] Lastly, it is of great importance to offer a referral to psychiatric counseling and to screen regularly for depression and suicidal ideation. […] There are many options to reduce the severity of the condition, which range from simple lifestyle changes, such as washing with acidic soap and eating a choline-deficient diet to utilizing antibiotics and sequestering agents.

• #22 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Your provider may prescribe the following medications to ease TMAU symptoms: Antibiotics and probiotics: These drugs help reduce bacteria in your gut, so your body doesnt produce as much of the chemical that causes TMAU. Activated charcoal: This drug binds to trimethylamine and moves it out of your system. Antidepressants and anti-anxiety medications: These drugs treat mental health issues that some people with TMAU develop. […] Your provider may recommend that you have mental health support like talking with a psychologist or counselor, particularly if youre dealing with self-esteem and body image issues. Mental health treatment may focus on coping strategies and ways to manage your stress. […] Trimethylaminuria is a chronic condition. There isnt a way to cure it and it doesnt go away on its own. But there are treatments and things you can do to reduce TMAU symptoms and the conditions impact on your life.

• #23 Trimethylaminuria – Wikipedia

  https://en.wikipedia.org/wiki/Trimethylaminuria

  Vitamin B2 at 50 mg per day in combination with diet resolved smell issues for 2 children with TMAU. […] Taking low doses of antibiotics such as neomycin and metronidazole in order to reduce the amount of bacteria in the gut, although this is not recommended as a long term solution due to antibiotic resistance and other side effects. […] Additionally, at least one study has suggested that daily intake of the supplements activated charcoal and copper chlorophyllin may temporarily improve the quality of life of individuals afflicted with TMAU by helping their bodies to oxidize and convert TMA to the odorless N-oxide (TMAO) metabolite.

• #24 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  In some cases, low-dose antibiotics may be prescribed to reduce the population of TMA-producing bacteria in the gut. Antibiotics like neomycin and metronidazole have been used with varying degrees of success. However, long-term antibiotic use should be carefully monitored due to potential side effects and the risk of antibiotic resistance. […] Activated charcoal can absorb and reduce TMA levels in the gut. It may be used as a supplement to help minimize TMA production and absorption. However, its effectiveness can vary among individuals. […] Copper chlorophyllin, a chlorophyll derivative, has been used as a supplement to help reduce body odor. Copper chlorophyllin is believed to neutralize odor-causing compounds; its effectiveness in managing TMAU symptoms is still being investigated, and individual responses may vary.

• #25 Trimethylaminuria: Understanding and Treating Fish Odor Syndrome

  https://www.healthline.com/health/trimethylaminuria

  Those with trimethylaminuria produce a body scent thats fish-like. Avoiding certain seafood and eggs can help you manage the smell but will not cure it. […] No cure currently exists for trimethylaminuria. However, you may be able to manage it by carefully choosing what foods you consume. […] Foods to avoid include those high in trimethylamine N-oxide and choline. They increase the amount of TMA in the body. […] Additionally, its important to avoid milk from wheat-fed cows. The milk may contain high amounts of TMA. Supplements containing lecithin can also make the fish odor worse. […] It may also be possible to reduce TMA levels by taking a small dose of antibiotics, a laxative to speed up digestion, certain supplements, like activated charcoal and copper chlorophyllin, riboflavin (vitamin B2) to help increase any existing FMO3 enzyme activity.

• #26

  https://111.wales.nhs.uk/encyclopaedia/t/article/Trimethylaminuria(’fishodoursyndrome’)/

  There’s currently no cure for trimethylaminuria, but some things might help with the smell. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish freshwater fish is fine, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] It can also be helpful to: avoid strenuous exercise try gentle exercises that don’t make you sweat as much, try to find ways to relax stress can make your symptoms worse, wash your skin with slightly acidic soap or shampoo look for products with a pH of 5.5 to 6.5, use anti-perspirant, wash your clothes frequently. […] Your doctor may recommend: short courses of antibiotics this can help reduce the amount of trimethylamine produced in your gut, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #27 Trimethylaminuria: Understanding and Treating Fish Odor Syndrome

  https://www.healthline.com/health/trimethylaminuria

  Those with trimethylaminuria produce a body scent thats fish-like. Avoiding certain seafood and eggs can help you manage the smell but will not cure it. […] No cure currently exists for trimethylaminuria. However, you may be able to manage it by carefully choosing what foods you consume. […] Foods to avoid include those high in trimethylamine N-oxide and choline. They increase the amount of TMA in the body. […] Additionally, its important to avoid milk from wheat-fed cows. The milk may contain high amounts of TMA. Supplements containing lecithin can also make the fish odor worse. […] It may also be possible to reduce TMA levels by taking a small dose of antibiotics, a laxative to speed up digestion, certain supplements, like activated charcoal and copper chlorophyllin, riboflavin (vitamin B2) to help increase any existing FMO3 enzyme activity.

• #28 Trimethylaminuria – Wikipedia

  https://en.wikipedia.org/wiki/Trimethylaminuria

  Vitamin B2 at 50 mg per day in combination with diet resolved smell issues for 2 children with TMAU. […] Taking low doses of antibiotics such as neomycin and metronidazole in order to reduce the amount of bacteria in the gut, although this is not recommended as a long term solution due to antibiotic resistance and other side effects. […] Additionally, at least one study has suggested that daily intake of the supplements activated charcoal and copper chlorophyllin may temporarily improve the quality of life of individuals afflicted with TMAU by helping their bodies to oxidize and convert TMA to the odorless N-oxide (TMAO) metabolite.

• #29 Reddit – The heart of the internet

  https://www.reddit.com/r/offmychest/comments/12gfsvl/i_suffer_from_a_condition_that_makes_me_smell_bad/

  For now, the best thing that helps keep this at a minimum is a very very restrictive diet and consumption of probiotics through kefir or kombucha. […] It does help but it’s not a perfect solution.

• #30 Woman, 41, reveals she has rare condition which makes her smell like fish | Daily Mail Online

  https://www.dailymail.co.uk/femail/article-10895691/Woman-41-reveals-rare-condition-makes-smell-like-fish.html

  Kelly has sought out ways of improving the symptoms over the years, including adopting a reduced choline diet. […] Sadly, there is no cure for Kelly’s condition but avoiding certain foods and supplementing nutrient levels can lessen the symptoms, which fluctuate over time. […] Kelly said: 'The whole condition is counter-intuitive in its treatment because your first thought is that it is BO [body odour]. […] I ultimately learned that the skin needs to remain at its natural pH of 5.5 as acid breaks down TMAU as it comes through the skin soaps, bleach and soda crystals are generally alkali. […] It’s not a good idea to make any big changes to your diet on your own, particularly if you’re pregnant or planning a pregnancy, or are breastfeeding. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need.

• #31 A Review of Trimethylaminuria: (Fish Odor Syndrome)

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3848652/

  Trimethylaminuria, better known as fish odor syndrome, is a psychologically disabling condition in which a patient emits a foul odor, which resembles that of rotting fish. […] While there is no cure, many simple treatment options exist that may drastically improve the quality of life of these patients. […] Once the diagnosis has been established, there are a number of potentially helpful treatment options; however, no single regimen seems universally efficacious. […] An easy first step for the patient might be to wash frequently with an acidic soap (pH 5.5-6.5) and launder clothes on a regular basis. […] Another logical solution to FOS is to exclude or reduce TMAO, a TMA precursor, from the diet, which is found in high concentration in marine fish. […] If restriction is not a viable option, a theoretical benefit may be derived from supplementation with riboflavin since FMO3 has a flavin cofactor; however, this has not been substantiated with any clinical study.

• #32

  https://111.wales.nhs.uk/encyclopaedia/t/article/Trimethylaminuria(’fishodoursyndrome’)/

  There’s currently no cure for trimethylaminuria, but some things might help with the smell. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish freshwater fish is fine, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] It can also be helpful to: avoid strenuous exercise try gentle exercises that don’t make you sweat as much, try to find ways to relax stress can make your symptoms worse, wash your skin with slightly acidic soap or shampoo look for products with a pH of 5.5 to 6.5, use anti-perspirant, wash your clothes frequently. […] Your doctor may recommend: short courses of antibiotics this can help reduce the amount of trimethylamine produced in your gut, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #33 Trimethylaminuria (’fish odour syndrome’) – EM Doctors

  https://www.em-doctors.com/conditions/trimethylaminuria

  There’s currently no cure, but there are things that can help. […] It can help to avoid certain foods that make the smell worse, such as: cows’ milk, seafood and shellfish, eggs, beans, peanuts, liver and kidney, supplements containing lecithin. […] Your specialist can refer you to a dietitian for advice. They’ll help you make sure your diet still contains all the nutrients you need. […] It can also be helpful to: avoid strenuous exercise, try to find ways to relax, wash your skin with slightly acidic soap or shampoo, use anti-perspirant, wash your clothes frequently. […] Your doctor may recommend: short courses of antibiotics, taking certain supplements such as charcoal or riboflavin (vitamin B2).

• #34 Trimethylaminuria: Understanding and Treating Fish Odor Syndrome

  https://www.healthline.com/health/trimethylaminuria

  You can consult your doctor or healthcare team about the right dosage for any of these medications or supplements. […] You may also wish to try using soaps and lotions with a pH level of 5.5 to 6.5. These may make it easier to wash off TMA from the skin. […] Since intense exercise and high levels of stress can increase sweat levels, people with trimethylaminuria may want to avoid these when possible. […] Although theres no cure for trimethylaminuria, changes to your eating habits may help manage it. Therapy and online support groups can also provide important emotional support if you find that your mental and social health are impacted by the condition.

• #35 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Your provider may prescribe the following medications to ease TMAU symptoms: Antibiotics and probiotics: These drugs help reduce bacteria in your gut, so your body doesnt produce as much of the chemical that causes TMAU. Activated charcoal: This drug binds to trimethylamine and moves it out of your system. Antidepressants and anti-anxiety medications: These drugs treat mental health issues that some people with TMAU develop. […] Your provider may recommend that you have mental health support like talking with a psychologist or counselor, particularly if youre dealing with self-esteem and body image issues. Mental health treatment may focus on coping strategies and ways to manage your stress. […] Trimethylaminuria is a chronic condition. There isnt a way to cure it and it doesnt go away on its own. But there are treatments and things you can do to reduce TMAU symptoms and the conditions impact on your life.

• #36 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  Maintaining good personal hygiene practices, including regular bathing or showering using odor-reducing soaps or washes, can help minimize the odor associated with TMAU. […] Trimethylaminuria can have a significant impact on self-esteem and mental well-being. Seeking support from mental health professionals, joining support groups, and engaging in counseling can be valuable in managing the emotional and psychological aspects of living with TMAU. […] A recent study revealed that the endovascular closure treatment resolved TMAU in patients with congenital portosystemic shunts when performed between birth and age 21.

• #37 A Review of Trimethylaminuria: (Fish Odor Syndrome)

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3848652/

  Yamazaki et al studied the ability of sequestering agents to improve FOS as determined by the oxidizing ratio in the urine. […] Another treatment, which exerts its effect in the gastrointestinal tract, is the use of antimicrobials. […] Lastly, it is of great importance to offer a referral to psychiatric counseling and to screen regularly for depression and suicidal ideation. […] There are many options to reduce the severity of the condition, which range from simple lifestyle changes, such as washing with acidic soap and eating a choline-deficient diet to utilizing antibiotics and sequestering agents.

• #38 Is There A Cure for Fish Odor Syndrome?

  https://www.medicinenet.com/is_there_a_cure_for_fish_odor_syndrome/article.htm

  To this day, there is no cure for fish odor syndrome or trimethylaminuria, and only palliative care exists that mainly involves: […] Diet modification that includes avoidance of choline-rich foods such as: […] Treatment with antibiotics and probiotics […] Activated charcoal to remove an excess of trimethylamine […] Moreover, behavioral counseling may also prove beneficial in treating depression, anxiety, and other psychological disorders associated with fish odor syndrome.

• #39 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Your provider may prescribe the following medications to ease TMAU symptoms: Antibiotics and probiotics: These drugs help reduce bacteria in your gut, so your body doesnt produce as much of the chemical that causes TMAU. Activated charcoal: This drug binds to trimethylamine and moves it out of your system. Antidepressants and anti-anxiety medications: These drugs treat mental health issues that some people with TMAU develop. […] Your provider may recommend that you have mental health support like talking with a psychologist or counselor, particularly if youre dealing with self-esteem and body image issues. Mental health treatment may focus on coping strategies and ways to manage your stress. […] Trimethylaminuria is a chronic condition. There isnt a way to cure it and it doesnt go away on its own. But there are treatments and things you can do to reduce TMAU symptoms and the conditions impact on your life.

• #40 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Self-care is an important part of living with TMAU, including: Using low pH soaps and lotions may reduce your body odor. […] Many foods make trimethylaminuria worse. Consider talking to a nutritionist about meal plans and food choices so you get enough nutrients. […] Stress can make TMAU symptoms worse. Ask your provider about stress management techniques that can help you lower stress that leads to a more noticeable odor. […] Talk to your provider if changing the kinds of food that you eat or managing stress doesnt help ease your symptoms. Theyll have other treatment options for you to consider.

• #41 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  The management of TMAU focuses on minimizing the symptoms and improving the quality of life for affected individuals. While there is currently no cure for TMAU, various approaches can produce symptom management. A specific questionnaire for patients with TMAU has been developed to evaluate treatment efficacy; the tool includes questions about different aspects of health to address all disease consequences. The treatment options for TMAU include dietary modification, antibiotic therapy, activated charcoal administration, modifications to personal hygiene, and psychological support. […] Dietary modifications to reduce the intake of TMA precursors are often recommended. Foods rich in choline, carnitine, and TMAO should be limited or avoided. This may include reducing or eliminating the consumption of certain types of fish, red meats, liver, eggs, legumes, and specific vegetables. Working with a registered dietitian specializing in metabolic disorders can be beneficial in developing an appropriate dietary plan.

• #42 Trimethylaminuria – Metabolic Support UKAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset

  https://metabolicsupportuk.org/condition/trimethylaminuria/

  There is currently no cure for Trimethylaminuria. However, there are a number of steps you can take to improve the symptoms. These include: […] Before you make any changes to the foods you eat, it is very important to consult a dietician to ensure that you have a healthy, balanced diet that also helps you to successfully manage your disorder. You may also be offered supplements by your medical team. […] It is important that you inform your medical team if you do feel this way. You are entitled to support that will help you to cope with your disorder.

• #43 Trimethylaminuria – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK594255/

  The management of TMAU focuses on minimizing the symptoms and improving the quality of life for affected individuals. While there is currently no cure for TMAU, various approaches can produce symptom management. A specific questionnaire for patients with TMAU has been developed to evaluate treatment efficacy; the tool includes questions about different aspects of health to address all disease consequences. The treatment options for TMAU include dietary modification, antibiotic therapy, activated charcoal administration, modifications to personal hygiene, and psychological support. […] Dietary modifications to reduce the intake of TMA precursors are often recommended. Foods rich in choline, carnitine, and TMAO should be limited or avoided. This may include reducing or eliminating the consumption of certain types of fish, red meats, liver, eggs, legumes, and specific vegetables. Working with a registered dietitian specializing in metabolic disorders can be beneficial in developing an appropriate dietary plan.

• #44 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Your provider may prescribe the following medications to ease TMAU symptoms: Antibiotics and probiotics: These drugs help reduce bacteria in your gut, so your body doesnt produce as much of the chemical that causes TMAU. Activated charcoal: This drug binds to trimethylamine and moves it out of your system. Antidepressants and anti-anxiety medications: These drugs treat mental health issues that some people with TMAU develop. […] Your provider may recommend that you have mental health support like talking with a psychologist or counselor, particularly if youre dealing with self-esteem and body image issues. Mental health treatment may focus on coping strategies and ways to manage your stress. […] Trimethylaminuria is a chronic condition. There isnt a way to cure it and it doesnt go away on its own. But there are treatments and things you can do to reduce TMAU symptoms and the conditions impact on your life.

• #45 Trimethylaminuria (Fish Odor Syndrome or TMAU)

  https://my.clevelandclinic.org/health/diseases/22356-trimethylaminuria-fish-odor-syndrome

  Self-care is an important part of living with TMAU, including: Using low pH soaps and lotions may reduce your body odor. […] Many foods make trimethylaminuria worse. Consider talking to a nutritionist about meal plans and food choices so you get enough nutrients. […] Stress can make TMAU symptoms worse. Ask your provider about stress management techniques that can help you lower stress that leads to a more noticeable odor. […] Talk to your provider if changing the kinds of food that you eat or managing stress doesnt help ease your symptoms. Theyll have other treatment options for you to consider.

• #46 Trimethylaminuria: Understanding and Treating Fish Odor Syndrome

  https://www.healthline.com/health/trimethylaminuria

  You can consult your doctor or healthcare team about the right dosage for any of these medications or supplements. […] You may also wish to try using soaps and lotions with a pH level of 5.5 to 6.5. These may make it easier to wash off TMA from the skin. […] Since intense exercise and high levels of stress can increase sweat levels, people with trimethylaminuria may want to avoid these when possible. […] Although theres no cure for trimethylaminuria, changes to your eating habits may help manage it. Therapy and online support groups can also provide important emotional support if you find that your mental and social health are impacted by the condition.

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