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5 Diagnosis Physicians typically consider COPD in patients with chronic cough, sputum production, shortness of breath, decreased exercise tolerance, and a history of exposure to tobacco smoke (GOLD 2011)

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Safety, Side Effects, and When to Pause and Reassess L-carnitine is generally considered safe for dogs when used appropriately, with relatively few reported adverse effects (Tanprasertsuk J, 2022)