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As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

Are there any nutritional deficiencies I should be concerned about, and how can I address them

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Comprehensive liver support Contains milk thistle standardized to 40% silymarin Improves fat digestion and liver function by sparing de novo bile salt synthesis via enterohepatic recirculation These statements have not been evaluated by the FDA