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143 The second possible mechanism for esophageal ulceration with AF ablation involves injury to the vagal anterior esophageal plexus, with subsequent impaired contraction of the lower esophageal sphincter predisposing to gastric reflux and esophagitis

Because Roseys skin changes appeared alongside reduced energy and coat thinning, her veterinarian performed a broader workup, which revealed hypothyroidism as a likely underlying contributor

Oral treatment is also a relatively inexpensive regimen with few side effects compared with other approaches

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