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However, this is controversial, and more evidence is needed

In cases where surgery is not feasible or preferred by the owner due to factors like advanced age anesthesia risks cost prolonged post-op confinement extended recovery time Additionally, for dogs with multiple orthopedic issues alongside the ACL tear, such as elbow dyspepsia hip problems arthritic hocks In cases where surgical repair of only one problem may not be the most effective approach, stem cell therapy can offer pain relief for multiple injuries simultaneously

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alongside addressing nutrient deficiencies

[1] Niacinamide in high doses can sometimes cause nausea, heartburn, or a sensation of warmth