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Initial biochemistry includes: Q8

gastrointestinal decontamination gastrointestinal decontamination background information Large overdose can cause delayed absorption of valproic acid from the gut, with levels peaking in a delayed fashion (up to 24 hours after the ingestion)

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For dogs with more advanced dilated cardiomyopathy at the time of diagnosis, improvement is less predictable, but carnitine supplementation alongside standard cardiac medications still provides the best available management