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Important note for you on female fertility evidence: While the evidence for L-carnitine's role in male fertility is well-supported by multiple clinical trials, evidence for female fertility benefits relies more on mechanistic and preliminary studies

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Turney et al., 2012)

While SAMe is most often recommended for liver health support, studies show that SAMe may also support cognitive abilities in senior or geriatric dogs, promote a better mood in dogs with chronic anxiety, and even support joint comfort

With the narrowing of these passageways, there is not enough room for the nerves, which results in spinal nerve compression