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Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults

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Insurers weigh the short-term cost of GLP-1 therapies (up to ~$17K annually) against the long-term savings from reduced obesity-related complications

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Keene was the primary presenter, and not all of the others attended.) One thing notable about seven of these ten veterinarians is that they were among the ten authors of the 2009 ACVIM "Consensus Statement: Guidelines for the Diagnosis and Treatment of Canine Chronic Valvular Heart Disease"