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It appears that too high a load without adequate time for proper repair contributes to this condition
Carnitine and milk production and quality Pirestani and colleagues evaluated the effect of LC supplementation (50 g/day/cow) for 40 days on milk somatic cell count (SCC) (as a measure of the milk quality) and several reproductive indices in Holstein dairy cattle
According to McNiven [26] at a Canadian genetics clinic, 83% of referrals for genetic testing for TMAU were deemed likely to instead have ORS
It also matters that these findings did not come from a tiny exploratory dataset
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