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Symptoms of illness are often subtle, and any change in their behavior could mean theres an issue and you should call your vet

Obesity Pharmacotherapy: Current Perspectives and Future Directions, Misra M., Journal (Current Cardiology Reviews, Volume 9, Issue 1, February 2013, Pages 3354)

It can cause fetal alcohol syndrome in the infant when consumed by pregnant women

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Rats fed with B12 deficient diet triggered NASH through activation of pro-inflammatory pathways with an imbalanced release of IL- 1, IL- 10, and MCP1 [19]