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The International Recommendations for the Management of Adults Treated With Ketogenic Diet Therapies noted that the majority of adult clinics check carnitine levels at baseline and at 1 year (21)

Case Report 4 in that study was of a female 13-year-old cavalier (right) in Stage C2 (advanced heart failure) of mitral valve disease, which had lost 1.5 lbs

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The original MINE formula includes four echocardiographic measurements -- (1) the left atrium-to-aorta ratio (LA/Ao)