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Be aware of these potential reactions and consult your healthcare provider if you experience any unusual symptoms

This reduced activity, combined with a potentially slower metabolism that can occur with persistent nutrient deficiencies, could indirectly contribute to weight gain over time

First, biosynthetic precursors for salvage or de novo NAD+ production are provided

As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI