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Several surfactants, including sodium dodecyl sulfate, sodium taurodihydrofusidate, polyoxyethylene ethers, and medium- to long-chain fatty acids, such as capric acid (decanoic acid) and caprylic acid (octanoic acid), have been used in oral drug formulations, often in combination with other carriers

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Patients should explore non-surgical therapies first, have realistic expectations, and consult experienced surgeons to choose the best individualized treatment

In healthy dogs, L-Carnitine is typically produced naturally, but supplementation may be necessary if your dog shows signs of deficiency

Avoid Dairy-Based Proteins Dairy-based proteins like whey and casein, although not an issue for everyone, might upset your stomach too

This includes older adults, those with diagnosed deficiencies, individuals with gastrointestinal disorders, or those on specific medications that affect B12 absorption