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While this is just one case, it shows how combining treatments can sometimes succeed when standard methods fail

[3] Citrulline itself has demonstrable hemodynamic benefits that extend beyond substrate recycling

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Significantly, all APDs cause metabolic side effects to differing degrees, and current treatments to reduce these metabolic symptoms have only limited efficacy 4

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the signs of serious hepatic disease (especially jaundice and vomiting) do not occur until later (days or weeks) in the course of the disease.2, 21 Recognition that anorexia in a cat, even for a few days, is a risk factor for development of hepatic lipidosis is essential, and this risk is increased in obese cats.11, 21 Further, the clinical signs of liver failure develop much more slowly