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They use it for chronic medical problems or diseases accompanied and complicated by diabetes mellitus

More commonly called goat polio or simply thiamine deficiency, polioencephalomalacia is a neurological disease characterized by brain swelling and tissue death the word literally means softening of the brain. Ruminants harbor beneficial bacteria and protozoa that produce Vitamin B12 (cobalamin) and Vitamin B1 (thiamine) under normal environmental conditions

Can I combine this with other treatments

It keeps B12 levels high, helping with recovery

Published Research NNMT Inhibition and Adiposity Neelakantan et al