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At some point, the medication may have done all that its going to do, he adds

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Environ Toxicol 32:241254 Haji-abadi SMAJ, Soofiani NM, Sadeghi AA, Chamani M, Riazi GH (2010) Effects of supplemental dietary l-carnitine and ractopamine on the performance of juvenile rainbow trout, Oncorhynchus mykiss

A severe-GI gate is present (gastroparesis / blockage / IBD), but that doesnt cover pancreatitis specifically

10.1093/ajcn/nqab262 Am J Clin Nutr

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