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doi:10.1038/s41591-019-0509-0 Rizk MG, Thackray VG

However, excessive alcohol intake may affect nutritional balance and overall metabolic health

Furthermore, we note that S467C is a variant associated with SPCD 56 that has been shown to increase the K M for carnitine in cell uptake assays ~15-fold 57

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If one of those measurements, say of the left atrium (LA), is equal to or above that cut-off measurement (which is LA/Ao = 1.6), but the other measurement, of the left ventricle (LV), is less than the species-wide LV cut-off measurement (LVIDDN = 1.7), then by this 2019 definition of Stage B1, the dog's heart is not deemed to be enlarged, and therefore administering pimobendan would not be appropriate