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Consult: Consult a Knowledgeable Veterinarian Expert: Work with an integrative or regenerative medicine veterinarian who understands peptide therapy and dosing for bulldogs

Bangert M, Titt U, Ziegenhein P, Mohan R , Oelfke U

The use of proton pump inhibitors (PPIs) has been associated with an increased risk of vitamin B12 deficiency, particular in older adults and those on long-term PPI therapy. Nutrition Reviews Duration-Dependent Risk Assessment The risk of B12 deficiency from PPIs grows with time