taking l carnitine with fish oil Dietary l-carnitine supplementation recovers the hepatic damage induced by high-fat diet in Nile tilapia (Oreochromis niloticus L.) via activation of Nrf2/Keap pathway and inhibition of pro-inflammatory cytokine Did You Know?
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2016), and sleep disturbances (Young et al
Conte, G

The lack of response to treatment in this instance seems to suggest that its effectiveness is completely halted in the presence of a null mutation leading to a complete loss of function of the thiamine transporter in the early-onset form [see Table 1 in Alfadhel (129)]

In general, L-carnitine is considered safe for cats with few reported side effects

Chen N, Yang M, Zhou M, Xiao J, Guo J, He L
