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A unifying theme connecting these comorbidities is chronic inflammation and low endogenous L-carnitine levels

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Most cats are more than 10 years old,32, 76, 126 males may be overrepresented, and several studies have recognized a distinct overrepresentation of Siamese cats.32, 76 Three distinct forms have been described 140 : 1 Infiltrative: characterized by a thickened, annular, stenotic lesion (Figure 23-26 ) that ultimately results in intestinal obstruction 2 Ulcerative: characterized by a deep, indurated mucosal ulcer with raised edges 3 Proliferative: characterized by a lobulated, expanding intestinal mass Cats typically present with nonspecific signs of gastrointestinal disease but can present with obstructive signs