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While L-carnitine supplements may improve this deficiency, keep in mind that many dogs will not show improvement

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The alcohol swab is not medical theater

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The biological process of L-carnitine L-Carnitine may play an important role in the transportation of long-chain fatty acids into the mitochondria, where they could be converted into energy.* This process is known as fatty acid oxidation, and L-Carnitine acts as a shuttle, carrying the fatty acids into the mitochondria for energy production

Asian J Pharma Clin Res 5(2):1518 Islam MT, Ali ES, Uddin SJ et al (2018) Phytol: a review of biomedical activities