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In the past I have had 4 diabetic cats, 2 we're already diabetic when I adopted them With most of them, they were on Lantus,

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In older children or adults it may be considered if there are clinical symptoms suggestive of carnitine deficiency (hypotonia, lethargy), a significant decrease in the serum free carnitine levels, an impairment in hepatic function tests, or hyperammonaemia, even in the absence of VHE