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If you cant quit smoking, you can mitigate this by eating nutritious foods, taking nutritional supplements and receiving a regular vitamin B12 injection

A high standard of dust control can mean less lower airway disease. In addition to furosemide and particulate control, nasal strips are a more recent advancement that may seem simple but can have a profound impact on horses with EIPH or a high risk of the condition

Studies suggest that the VEGF/VEGFR-2 pathway may be particularly relevant, as its activation seems to trigger intracellular signaling cascades that potentially influence endothelial cell migration, proliferation, and survival

This all will depend on which vitamin you are lacking in and how deficient you are