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It must be used under medical supervision to be safe

Here is the list of main ingredients: "Oat meal, corn gluten meal, rice, chicken meal, beef fat preserved with mixed-tocopherols, natural flavor, vegetable oil (source of medium-chain triglycerides), cassava root flour, dried beet pulp, potato protein, powdered cellulose, fish meal ..." So, the bottom line is: Avoid this kibble

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You will learn the specific timelines for refrigerated storage , room temperature windows, beyond-use dates for compounded formulations , and the signs that tell you a vial has degraded past the point of safe use