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Living with Dimethylglycine dehydrogenase deficiency

An extremely rare inherited condition causing muscle tiredness and a fish-like body odor.

Understanding Dimethylglycine dehydrogenase deficiency

Dimethylglycine dehydrogenase deficiency is an extremely rare inherited condition of glycine metabolism that causes muscle fatigue and a fish-like odor.

GARD lists onset in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these as the most common:

  • Fish-like body odor
  • Muscle tiredness (fatigue)
  • Abnormal metabolic lab results

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists.

  3. Consider genetic testing

    Changes in DMGDH are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing of the DMGDH gene confirm the diagnosis?
Which lab tests are used to follow this condition?
How can muscle fatigue be managed?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesDMGDH

Changes in the DMGDH gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: deficiency of dimethylglycine dehydrogenase; dimethylglycine dehydrogenase activity disease; disorder of dimethylglycine dehydrogenase activity; dmg dehydrogenase deficiency; dmgdh deficiency; dmgdhd

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Dimethylglycine dehydrogenase deficiencyGARD ID 17185 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Dimethylglycine dehydrogenase deficiency.

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Explore research for Dimethylglycine dehydrogenase deficiency

Explore actively recruiting Dimethylglycine dehydrogenase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dimethylglycine dehydrogenase deficiency with HealthSpark. Share your city to explore research near you.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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