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This amino acid is usually produced naturally in healthy dogs, but some dogs present a deficiency, in which case, a supplemental form of L-carnitine may be necessary

K., Alvino, E

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We also reviewed the bibliographies of the randomised controlled trials identified and contacted the authors and known experts in the field and pharmaceutical companies to identify additional published or unpublished data

pp 183204 Pettegrew JW, Post JFM, Panchalingam K

Carnitine metabolism and deficiency syndromes