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A vitamin B12 deficiency may be the cause

However, due to age-related immunosenescence and the capability of senescent cells to evade immune surveillance, senescent cells are spared and accumulate in diverse tissues (75)

This varies based on the type of steroid, the condition treated, and individual factors

Serum zinc concentrations following oral supplementation of two different zinc compounds has been investigated in ponies [161], but to date no studies have been performed assessing zinc supplementation in horses with gastrointestinal disease

Research consistently supports intakes of 0.7 to 1.0 grams of protein per pound of body weight daily for individuals in a caloric deficit