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81 A study in anxious dogs showed treatment with the probiotic yeast Saccharomyces boulardii, at 1 billion CFUs per kg of dog food daily for 35 days, decreased levels of cortisol, suggesting stress reduction

Some practitioners are now combining epidural steroid injections with peptide therapy, using the steroid to provide immediate symptom relief while the peptides work on tissue repair over weeks to months

Bouillon R, Carmeliet G, Verlinden L, van Etten E, Verstuyf A, Luderer HF, et al

So they'll, for instance, have Sermorelin or tesomorelin in combination with hexorelin, or they'll use ipramorelin in combination with CJC1295