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A history of cancer or active malignancy is frequently flagged in the literature as a reason for caution, because pathways involved in angiogenesis and cell migration are also relevant to tumor biology
NICE guidelines for weight management emphasise evidence-based interventions including dietary modification, increased physical activity, behavioural therapy, and in appropriate cases, pharmacological treatments (such as orlistat or semaglutide) or bariatric surgery
Blood samples, live liver biopsy and liver collected at slaughter are options for measuring B12 levels that you could discuss with your veterinarian
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