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Despite the availability of recombinant erythropoietin and the more liberal use of intravenous iron dextran in recent years, a large proportion of maintenance dialysis patients continue to suffer from anemia or require large doses of erythropoietin to maintain blood hemoglobin concentrations within the recommended range

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It may also be considered by vegetarians or those with restricted diets who may not get sufficient L-Carnitine from food sources alone

To get high feed quality, the feed should be purchased from feed mills/sources with a well-functioning bacterial control to guarantee the absence of Salmonella