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It may boost energy levels as it increases the amount of fuel availability that the heart requires to function.3 In a systematic review by the Mayo Clinic, Carnitine was associated with a 27% reduction in all-cause mortality.3 L-Carnitine may also play a role in keeping cholesterol levels in a healthy range.4 How does L-Carnitine work

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For starters, previously published studies have shown that if pimobendan is administered prematurely, it can cause MVD to progress more rapidly in some dogs, and otherwise damage the dogs' hearts