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Therefore, an L-Carnitine deficiency in cats will have a negative impact the entire body causing symptoms and conditions such as: Heart disease Heart failure Heart enlargement or dilated cardiomyopathy Intolerance to exercise Pain in the skeletal muscles Lethargy Causes of L-Carnitine Deficiency in Cats The exact cause of L-Carnitine Deficiency is still to be determined, however, research has found that when a supply of L-Carnitine is no longer consumed by the cat, a deficiency can develop