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Moreover, GERD amelioration might require 10% BW loss, which is hardly achievable and sustainable without pharmacotherapy 108

(More information) Supplementation with lipoic acid transiently increases plasma and cellular concentrations of unbound lipoic acid

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When barrier function is compromised, the resulting increase in intestinal permeability, commonly referred to as leaky gut syndrome, is associated with immune activation, oxidative stress, reduced feed efficiency, and lower milk yield, particularly during periods of heat stress and early lactation

Patients should report any unexpected injection site reactions, signs of infection, or systemic symptoms to their provider immediately