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The chronic use of any of these medications has the potential to cause complications related to vitamin B12 deficiency, which includes impaired DNA synthesis, impaired cell division, hematopoiesis, hyperhomocysteinemia, and metabolism of odd-chain fatty acids that is necessary in preventing demyelination of nerves

food additives) used to extend their shelf life and limit microbial contamination (Smyth 2017)

And then we always like to screen for alcohol because alcohol overuse can also contribute

As a general rule of thumb, treats should make up no more than 10% of a dogs total caloric intake to help reduce the risk of nutrient deficiencies and excesses

Dietary fibers are indigestible carbohydrate polymers, which are substrates of microbial degradation in the intestine