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The COA summarizes lot-level quality-control context, HPLC supports chromatographic purity review, and MS supports molecular-identity review

Conditions that can cause cobalamin deficiency include: Inflammatory bowel disease (IBD) Exocrine pancreatic insufficiency (EPI) Pancreatic cancer Chronic enteropathy Alimentary lymphoma Small intestinal dysbiosis Inherited selective cobalamin malabsorption Inherited selective cobalamin malabsorption, which is known as Imerslund-Grsbeck syndrome (IGS) in humans, makes a dog genetically predisposed to have difficulty absorbing cobalamin

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However, the correlation with BMI, Waist circumference, Glucose, HbA1c, Insulin, HOMA-IR index, triglycerides (TG), total cholesterol (TC), Low-density lipoprotein-cholesterol (LDL-C), Systolic BP, C-reactive protein (CRP) and Serum folate was insignificant or weak