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10.3382/ps.0680744 34

Energy deficiency can stimulate the proliferation of mitochondria of smooth muscle and small vascular endothelial cells and cause angiopathy (such as MELAS syndrome), resulting in damage to microvascular hemoperfusion and insufficient energy supply to the brain (16)

[PubMed 15798917] 2635

Many owners use two or three products together, however please check the ingredients first to make sure you are not doubling up and consult your vet first, especially if your dog is on medication
