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The only RCTs currently available concern the use of bosentan, but in clinical practice, initial monotherapy with ERA or PD5i for symptomatic patients is proposed

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Debra Zoran is a small animal internist, nutritionist, and professor of small animal clinical sciences at the School of Veterinary Medicine and Biomedical Sciences, Texas A&M University

L-Carnitine may also be beneficial for blood sugar levels, there are human studies to back this up, and it may be one of the more underrated benefits of L-Carnitine supplementation

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