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Clinical governance: If a practice elects to explore BPC-157, use informed consent

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Therapeutic Diet Dogs with B12 deficiency typically benefit from: Highly digestible proteins (e.g., turkey, chicken, white fish) Moderate fat levels (especially in GI or pancreatic cases) Soluble fibre (e.g., pumpkin, psyllium) to aid gut healing Probiotics and prebiotics to restore the microbiome Digestive enzymes (if needed in EPI) Foods to Avoid in B12-Deficient Dogs Unbalanced homemade meals without supplementation Raw bones or overly fatty meats (hard to digest with EPI or IBD) Grain-free, high-legume kibbles (may worsen gut inflammation) Vegan diets contain no natural B12 Raw fibrous vegetables may irritate an already inflamed gut Long-Term Management & Monitoring For chronic or genetic B12 deficiency, lifelong management may be needed

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