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A meta-analysis revealed that supplemental intake of 4,000 mg L-carnitine increases serum albumin levels and ameliorates serum ammonia levels in patients with hepatic encephalopathy (14)

It also does not take into consideration concurrent disease like renal insufficiency, which many of these cats may be plagued, necessitating additional nutrient requirements

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Carnitine, indeed, plays the key role of shuttling acyl groups through intracellular membranes for FAO

L-carnitine fumarate is a stable form of the amino acid, L-carnitine