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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contacted the authors and known experts in the field and pharmaceutical companies to identify additional published or unpublished data

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

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The terrific carnitine concentration gradient between epidydimal lumen and plasma is allowed by the presence of OCTN2 at the blood side and by the presence of another carnitine specific transporter, namely CT2 (SLC22A16) on the lumen side of epithelia (Koepsell, 2013)