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17 GottliebY.GhanimM.ChielE.GerlingD.PortnoyV.SteinbergS.et al (2006)

Consult: Consult a Knowledgeable Veterinarian Expert: Work with an integrative or regenerative medicine veterinarian who understands peptide therapy and dosing for bulldogs

The use of proton pump inhibitors (PPIs) has been associated with an increased risk of vitamin B12 deficiency, particular in older adults and those on long-term PPI therapy. Nutrition Reviews Duration-Dependent Risk Assessment The risk of B12 deficiency from PPIs grows with time