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The second exception is when a bovine is apparently very sick from either a gut disorder that may have wreaked havoc on their rumen microbial communities (like what acidosis can do) or are suffering from serious cobalt/B12 deficiency

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First I had to fight my doc since - you guessed it - he'd never heard of it, then I had to fight the lab who flat out refused to do it because - and this is a doozy - it wasn't low enough, although it was their lab that marked it as low

43.Aomatsu E et al

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Though many experts suggest that lipo shots are safe, the FDA has received reports of adverse reactions from some people who used unapproved fat-dissolving injections