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We are entirely dependent on dietary intake or supplementation, and even with adequate dietary intake, absorption can be impaired by a range of factors including age-related changes to stomach acid production, certain medications, and digestive conditions

Crohn's Disease and Celiac Disease: Both of these inflammatory conditions can damage the terminal ileumthe very last section of the small intestine where B12 absorption happens

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Gut dysbiosis can increase the risk of chronic inflammation, digestive complaints, and all kinds of acute and chronic health issues, including pancreatitis

The Centers for Disease Control and Prevention (CDC) states that if a multi-dose vial has been opened or accessed (e.g., needle-punctured) the vial should be dated and discarded within 28 days unless the manufacturer specifies a different (shorter or longer) date for that opened vial

These three studies represent thousands of data points across performance horses and pathology, offering unparalleled insight into safety, efficacy, and long-term function