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Some families of Boxers have been diagnosed with primary carnitine deficiency, while Cocker Spaniels with inherited DCM have also responded well to carnitine supplementation

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Most appear to have kept their use a secret, though a handful have acknowledged taking the drug, including Elon Musk, Rosie O'Donnell, and Chelsea Handler (who said she did so unwittingly)

Heart failure occurs when the heart is unable to pump blood efficiently, which can lead to fatigue, shortness of breath, and fluid buildup in the body