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Veterinarians may wish to default to chewable or palatable formulations when they are available or consider alternatives to oral medications when longer-lasting injectables are indicated and available to reduce pet owner anxiety and stress

Decrease dose if: Experiencing consistent side effects (headaches, fatigue, GI disturbance), achieving satisfactory results at current dose with no need for escalation, or cost considerations favor using minimum effective dose

1,3-Propanediol

Having an autoimmune disease : Some autoimmune diseases can damage the stomach lining (including pernicious anemia) where intrinsic factor is produced