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These results help explain how GCKR P446L causes liver damage and defines some of its extracellular effects

1 2 "Effective dosing of -carnitine in the secondary prevention of cardiovascular disease: a systematic review and meta-analysis"

160 Other Hepatotoxins Aflatoxicosis Aflatoxins are metabolites, produced primarily from strains of the saprophytic fungus, Aspergillus , which cause toxic hepatitis in dogs and many other species.138, 161 Exposure in dogs may occur through the inadvertent use of aflatoxin-contaminated corn or peanut meal during the commercial production of dog food, or after ingestion of homemade pet foods, moldy garbage, or improperly stored dog food