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You can read about Maren, a girl with this kind of condition (propionic acidemia to be exact), and about the long journey her family went on to finally solve this odor in this blog post
Further, FGF21 seemed to have a mitohormetic effect on liver of PDSS2 BKO mice fed a high fat diet

The communities of all 12 subjects converted the majority of l-carnitine to BB within 12 hours of incubation, although not all subjects produced TMA from BB by 32 hours (Figure 9B)
