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But that same suppression creates a real risk: eating too little, particularly too little protein, at a time when your body needs it most

Under the prevailing nutritional conditions of dairy farms in the Colombian high tropics, it is likely that the negative energy balance (NEB) during the transition period forces cows to increase the use of amino acids for energy, diminishing the lysine and methionine pools, which are substrates for carnitine synthesis

Healthcare providers typically assess the risk-benefit ratio for each patient individually

Someone managing other medications that affect digestive function may require a more tailored schedule