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If it delivers on the promise suggested by preclinical research, it would represent a meaningful addition to GERD treatment options

1 B12 deficiency can be easily overlooked because symptoms may be attributed to other health conditions or the aging process

Reduced cobalamin availability leads to: Impaired enterocyte regeneration Villous atrophy and barrier dysfunction Increased intestinal permeability Secondary dysbiosis and chronic inflammation Clinically, this manifests as: Persistent anorexia Weight loss Chronic diarrhea Poor response to standard GI or pancreatitis therapy Low vitamin B12 concentrations have also been associated with increased disease severity and poorer prognosis in dogs with chronic enteropathy and inflammatory bowel disease

At the subclinical stage (0.010.05% BAC), most people feel normal with no obvious impairment, though reaction time may slow slightlytypically after one drink for an average-weight adult