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Monitoring and specialist referral should follow NICE NG49 pathways
Although gastric banding carries a lower risk of B12 deficiency than malabsorptive procedures such as Roux-en-Y bypass, reduced tolerance of B12-rich foods and the use of acid-suppressing medicines can still compromise nutritional status over time
Lethargy The most common reaction that dogs tend to experience after vaccinations is a feeling of malaise, lethargy or discomfort, often accompanied by a very mild fever
AOD 9604 helps but can't completely overcome terrible lifestyle factors
Akache B, Renner TM, Tran A, Deschatelets L, Dudani R, Harrison BA, et al
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