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Seek veterinary attention promptly if your dog shows: Breathlessness or obvious difficulty breathing without exertion A sudden collapse or episode of fainting A heart murmur detected at routine examination Progressive exercise intolerance over several weeks A soft cough combined with reduced energy in a breed known to be at risk of cardiomyopathy Related Videos Causes of Carnitine Deficiency in Dogs The underlying causes of carnitine deficiency in dogs vary between individuals: Genetic predisposition: In breeds such as Boxers and American Cocker Spaniels, a genetic tendency to have lower plasma carnitine levels has been documented

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Availability of data and materials The data that support the findings of this study are available from KGK Synergize Inc

(7(9)):e901 doi:10.1002/mgg3.901

The activity of this important enzyme has a tendency to decline