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A: This would be off-label use, because this is not part of the indications for use of the Valeda Light Delivery System
If they do, this would also add evidence that this NNMT inhibitor improves muscle performance through increasing NAD+ levels
Other Digestive enzyme supplements: If your dogs B12 deficiency is due to a digestive issue like EPI (see above section, What can cause B12 deficiency in dogs?), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients
Reading your post mentioning IBS and Fibromyalgia has me posing another question - have you been correctly tested for the Thyroid and in particular - Hashimotos
If you need a primary care provider, MinuteClinic may be an option for you
