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Vitamin B12 is mainly excreted from urine and bile

Other Digestive enzyme supplements: If your dogs B12 deficiency is due to a digestive issue like EPI (see above section, What can cause B12 deficiency in dogs?), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients

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People with ALS often have an imbalance in their gut bacteria, known as dysbiosis, with fewer helpful bacteria like Faecalibacterium prausnitzii and Bifidobacterium, and more potentially harmful ones such as E

10.1016/bs.ant.2020.01.001 141 RosenthalT