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However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future

This signalling cascade can enhance mitochondrial function, improve cellular energy production, and activate anti-apoptotic (cell survival) pathways

Observe patients carefully for signs and symptoms of acute pancreatitis which may include persistent or severe abdominal pain, (sometimes radiating to the back), nausea, or vomiting

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They may boost strength, endurance, and recovery, but come with devastating risks