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Contact your GP if you experience persistent or worsening sleep problems that coincide with starting B12 supplements, particularly if accompanied by other symptoms

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However, NAD+ levels decrease over time with age and stressors such as inflammation and alcohol, leading to different health issues

160 Other Hepatotoxins Aflatoxicosis Aflatoxins are metabolites, produced primarily from strains of the saprophytic fungus, Aspergillus , which cause toxic hepatitis in dogs and many other species.138, 161 Exposure in dogs may occur through the inadvertent use of aflatoxin-contaminated corn or peanut meal during the commercial production of dog food, or after ingestion of homemade pet foods, moldy garbage, or improperly stored dog food