l-carnitine makes me sleepy Frontiers Carnitine Deficiency: What Is It,

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J Neurochem 70:26132619 Kunnecke B, Cerdan S, Seelig J (1993) Cerebral metabolism of [1,2-13C2]glucose and [U-13C4]3-hydroxybutyrate in rat brain as detected by 13 C NMR spectroscopy

The best sources include: Red meat (especially lamb and beef) Fish Poultry Dairy products Smaller amounts are found in some plant sources like avocado and asparagus, but generally, vegetarian and vegan diets provide less L-carnitine

Limit alcohol (excess reduces volume) and quit smoking/vaping entirely

Factors to assess include: your dogs age the size of your dogs masses number of masses location of masses interference with normal activities whether the mass (or masses) is ulcerated and at risk for infection

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