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These sleep disturbances can further contribute to feelings of tiredness and fatigue

Am J Clin Nutr 48:570574 Bohles H, Segerer H, Fekl W (1984) Improved N-retention during l-carnitine-supplemented total parenteral nutrition

L-Carnitine is mainly made in the brain, liver, and kidneys and plays a role in heart and brain function, along with many other processes, including muscle movement (WebMD)

Even in the Doberman Pinscher, in which two different mutations associated with DCM have been identified, some dogs with DCM have a single mutation, some have both mutations, and some have neither 7,8,9

For example: Nuts especially walnuts and almonds are rich in L-arginine, a precursor to nitric oxide