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• Carnitine deficiency is documented in certain breeds with DCM • Supplementation improved cardiac output in some Boxer studies • May reduce the severity of DCM progression in carnitine-deficient dogs • Used alongside taurine supplementation in grain-free diet-related DCM cases • Heart muscle (myocardium) uses fat as its primary fuel source • Stronger fat oxidation = better energy supply for the cardiac muscle • Works best as a complement to prescribed cardiac medications, not a replacement For dogs also receiving liver support therapy alongside cardiac care, see our article on liver support supplements for dogs