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PMID:2852955 [4] Levine N, Sheftel SN, Eytan T, Dorr RT, Hadley ME, Weinrach JC, Ertl GA, Toth K, McGee DL, Hruby VJ

If you see any of these signs of heart failure, it calls for a visit to the vet: Abnormal heart rhythm Tiredness Reduced ability to exercise Poor appetite Shortness of breath Panting or coughing Greyish mucus membranes in the mouth Enlarged abdomen Treatment of carnitine deficiency A definitive diagnosis of carnitine deficiency is rare, but the recommended treatment would be a supplement containing L-carnitine

This indicates you injected air into the vial during reconstitution or during a previous drawthe positive pressure inside forced liquid back through the needle tract, which means the vial is now contaminated

I spoke with three fellow dietitians and did my own investigating to find out