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However, long-term outcomes and flare rates are unknown, so steroid-free induction cannot be recommended until further evidence is available

Polioencephalomalacia More commonly called goat polio or simply thiamine deficiency, polioencephalomalacia is a neurological disease characterized by brain swelling and tissue death the word literally means softening of the brain. Ruminants harbor beneficial bacteria and protozoa that produce Vitamin B12 (cobalamin) and Vitamin B1 (thiamine) under normal environmental conditions

Thiamine supplementation in symptomatic chronic heart failure: A randomized, double-blind, placebo-controlled, cross-over pilot study