l-carnitine fishy odor side effect trimethylamine for Weight Loss: Benefits, Uses & Science – Tvamm Elixirs Does L-carnitine cause fishy body

CYA build-up and the increase in kill times has led the Center for Disease Control (CDC) to issue this statement, The CDC recommends not using cyanuric acid or chlorine products with cyanuric acid in hot tubs/spas. This was published in May 2016 in a CDC article called Your Disinfection Team: Chlorine & pH. In November 2016, the Pennsylvania Department of Health published a statement that reads At even moderate levels of cyanuric acid, the amount of time it takes chlorine to kill pseudomonas aeruginosa (the bacteria that causes hot tub itch) can be as much as a hundred times as long as in a hot tub or spa without cyanuric acid. This appeared in the publication Public Swimming and Bathing Places: Operational and Biological Protocol Recommendations. Other Ramifications High levels of CYA have also caused corrosion because they contribute to Total Alkalinity (TA)

Nat Rev Immunol 2017, 17: 179194

However despite its clinical importanceparticularly for thrombocytopenic patients undergoing cancer therapy or surgeryplatelet transfusion is significantly limited by short shelf life, donor dependency, and the risk of alloimmunization

It has been safely used orally in children for up to 6 months (NatMed 2025)