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So, there seems a possibility it is autoimmune BUT what about the low meat intake

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Vetozol 10% VITAMIN B12 treatment applies to the following species: Cattle, Horses, Pigs, Poultry, Goats, Sheep, Dogs, Cats Vetozol is a source of Vitamin B12 and phosphorus for the prevention or treatment of deficiencies of these nutrients in cattle, swine, horses, and poultry

MOTS-c activates AMPK to shift cellular metabolism toward fat oxidation and improve insulin sensitivity, while 5-Amino-1MQ inhibits NNMT to preserve NAD+ availability and enhance mitochondrial function