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Both ACOG and the Endocrine Society recommend FDA-approved formulations as the starting point for menopausal hormone therapy

This is a high dosage so we only use this in cases of pyroluria or after we have diagnosed a B6 deficiency on blood labs or organic acid testing

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B12-deficient breeders Edema Hemorrhages Beak shortening Myotrophy of legs and perosis Fattiness of the liver, heart, and kidneys Fewer myelinated fibers in the spinal cord high incidence of embryonic death at 17 days of incubation Although several concerns can be seen in vitamin B12-deficient chickens, the occurrence can still be considered highly unlikely or rare if they are regularly fed a complete diet or grown on litter where animal-based ingredients are used