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VNS may lead to adverse effects, such as throat discomfort and voice changes, which may reduce its acceptability among some patients (Redgrave et al., 2018)

Liang CM, Lee N, Cattell D, Liang SM

Anemia, Iron Deficiency, And Cobalamin Deficiency in Cats with Chronic Gastrointestinal Disease

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The CNS has an absolute requirement for glucose as a metabolic substrate, at least in the early part of the fasting period, and the liver plays a central and primary role in the control of its level in the blood (Figure 3.4)