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Hiramoto, B

Neurological investigations showed raised plasma homocysteine and methylmalonic acid towards the upper limit of normal with a low serum vitamin B12 MRI showed an extensive cord lesion in keeping with subacute combined degeneration of the spinal cord

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Furthermore, Hp might activate the NFkB, which is an oxidant-sensitive transcription regulator of inducible expression of inflammatory genes such as COX-2 that regulates human GC growth and proliferation ( Table 3 )

What matters most is the dog's underlying condition, the product's other ingredients, and what else is being given at the same time