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Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8
Changes in Glutathione Content in Liver Diseases: An Update
For this reason, an expert vet should check the horses teeth at least once a year
Adjusting dosage or frequency : If clinically appropriate, adjusting the dose or frequency of administration might reduce the amount of medication needed, thus lowering costs
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