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Immunosuppressants contribute to serious infections, increase the risk of cancers (especially skin, liver, lymphoma, and kidney), lead to cardiovascular toxicity, and result in hospitalizations and complications [212,213,214,215]
The positive aspect is that many Medicare Advantage plans do include coverage for B12 injections, and in some instances, they may provide more flexible guidelines or additional wellness benefits
However, following the March 2026 patent expiry in India, China and Canada, licensed manufacturers are now legally producing and supplying generic versions at significantly lower prices
Potential Owner-Related Risk Factors That May Contribute to Obesity in Companion Dogs in Aotearoa New Zealand
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