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As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

is additionally supported by the Louis Jeantet Prize 2015 awarded by the Louis Jeantet Foundation

Over-the-counter NSAIDs (like ibuprofen , often prescribed at higher doses) also contribute

Researcher Note: If the cloudiness does not clear up after letting the vial sit in the refrigerator for a few hours, the structural integrity of the peptide may be compromised, and it should not be used

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As mentioned above, an excess of B12 is what can change p