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It remains a phenomenon as well, that even if you treat a cat for a disease like IBD with steroids or immunosuppressant medication and a prescription diet, their response will never be as full or complete unless B12 supplementation is also included

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No elevation of IGF-1 Growth hormone works partly through stimulating insulin-like growth factor 1 (IGF-1) production in the liver

In several European countries, this is an official indication for treatment