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Human dosing, long-term safety, and drug interactions are not established

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This scoring system allowed for semi-quantitative evaluation of cartilage integrity based on macroscopic features such as softening, fibrillation, erosion, ulceration, and complete cartilage loss [1]

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Note that if your dog has been diagnosed with inflammatory bowel disease (IBD) or another chronic GI disorder, treatments for that underlying condition may not be effective until a healthy B12 level has been restored