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These interactions can lead to unpredictable responses to anaesthesia, including inadequate pain control or complications with sedation levels

(1997) showed that supplemental synthetic vitamin E levels of 80 IU and 300 IU per kg dry matter were necessary to maintain blood and skeletal muscle concentrations in horses undergoing exercise conditioning

The supplements can push the B12 level in your blood into the normal range, masking the real problem: your body isnt actually using it properly at a cellular level

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Your doctor can distinguish between the two with a properly collected midstream urine test