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Neuromuscular disease Myopathy can be seen with biochemically defined defects in mitochondrial substrate transport or utilization, including the myopathic form of carnitine deficiency

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Extra caution is warranted if your dog has complex medical needs or is taking medications

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Individual patient factors influence reaction susceptibility, including skin sensitivity, immune system reactivity, and previous exposure to similar medications

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The effect is more pronounced in overweight or obese individuals and when the treatment is combined with a caloric deficit and physical activity

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