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Niacin: Fact Sheet for Health Professionals

In small breed dogs with typical murmurs, echocardiography is recommended to answer specific questions regarding either cardiac chamber enlargement or the cause of the murmur if those questions are not answered adequately by auscultation and thoracic radiography

Manhiani MM, Seth DM, Banes-Berceli AK, Satou R, Navar LG, Brands MW, et al

targeted supplementation is most valuable when it addresses a specific nutritional shortfall confirmed by food tracking or lab results rather than used as a substitute for consistent lifestyle habits