With regards what is known on the forums as 'Fecal Body Odor' (amongst other fecal/gas type smells), everyone is obviously mostly distressed about the smells. However there must be a good chance they feel as bad as they smell, since those toxins seem to be circulating in the blood (hence the smell through the skin). In effect, it must be similar to habitually drinking very diluted sewage water. Not enough to make you acutely ill, but enough to make you feel permanently vaguely unwell. You could think of it as having a low grade gut infection, rather than acute poisoning. A sort of auto-intoxication seems to be going on. Whilst the medical system is highly primed for acute infections, they don't seem much interested in quality of life 'low-grade' complaints. Currently the few research papers that mention a fecal body odor would likely be to do with very serious liver damage, whereas we know that it would be possible for someone with FBO to win the Olympics marathon or any sort of achievement. Even with trimethylaminuria, the PH is very alkaline and when it is in high levels in the blood, it can't be too good for the blood circulation which needs to keep within a strict PH.
So if people with Fecal Body Odor feel bad about poor concentrating and suchlike, don't be too hard on yourself, because as well as the smell you are likely to be pretty much suffering mildly untreated poisoning. Probably most/all can think of it as having a low-grade constant gut infection.
Hopefully someday the syndrome will be fully understood and recognised.
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