There are no known drug interactions, but always consult your veterinarian before making dietary adjustments if your horse is on prescription medications
On the other hand, foods that are high in sugar or refined carbs may cause blood sugar spikes that go against the stabilizing effects of the drug
Hershman DL, Unger JM, Crew KD, Minasian LM, Awad D, Moinpour CM, et al Randomized double-blind placebo-controlled trial of acetyl-L-carnitine for the prevention of taxane-induced neuropathy in women undergoing adjuvant breast cancer therapy J Clin Oncol
The effect is from reduced melanin production and lower oxidative stress
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This is also the time to discuss whether GLP-1 therapy is appropriate or whether another medical weight loss approach may be better