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Dogs whose carnitine deficiency is identified before significant cardiac changes have occurred, or in the early stages of cardiomyopathy, tend to respond best to supplementation and show measurable improvement in cardiac function over several months

PMID: 3697069 by Ishida K., et al

Some pharmaceutical medications may increase the need for Acetyl L'Carnitine, including AZT, certain antibiotics, isotretinoin, and some anti-seizure medications (carbamazepine, phenobarbital, phenytoin, and valproic acid)

Yes, we recommend pausing medication before undergoing anesthesia and surgery to avoid any complications