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Gastric acid production naturally increases during overnight fasting periods, making conditions like GERD and gastritis more likely to cause pain upon waking when the stomach is most acidic

In bone, chronic inflammation may impair remodeling creating poor quality repair

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But dogs with digestive disorders or other health issues may not be able to absorb enough of it, and the resulting B12 deficiency can cause serious health problems, including diarrhea, weight loss, and even seizures