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Long trips (over 21 days) Trips longer than 21 days require active refrigeration for brand-name products and for most compounded formulations

Individuals with conditions or lifestyle factors that increase the risk of Vitamin B12 deficiency should consider incorporating B12-rich foods or supplements into their diets to maintain optimal health

Also worth noting: if your dog is on immunosuppressive drugs, has a compromised immune system, or is pregnant or nursing, check with your vet before starting

Talk to a healthcare professional if: You have heartburn more than twice a week Symptoms wake you up at night You have difficulty swallowing You feel food getting stuck You have unexplained weight loss You vomit blood or see black stools You have persistent chest pain Over-the-counter medicine does not help Important: Chest pain can sometimes be related to the heart, not acid reflux