Trimethylaminuria: Diet Does Not Always Control the Fishy Odor

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Abstract
To the Editor: In addition to the patients described by Lee et al. (page 937, this issue), we report four further cases of this disorder in Melbourne. We call attention to unusual additional symptoms in two of our patients. The diagnosis was established by the same gas Chromatographic technic used by Lee and his colleagues. In fact, three of our patients were tested by Dr. Keith Murray, whose laboratory studied the three patients from Sydney.Restriction of choline-containing foods and elimination of fish from the diet had little effect on the body odor in our patients —only one of . . .

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