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The inclusion criteria, established according to previously described procedures, encompassed body weight (BW), body condition score (BCS), cresty neck score (CNS), OGTT, Leptin, Adiponectin, the history of Laminitis and fasting insulin concentrations [20, 35]

This can lead to a vicious cycle where you feel better for a while, return to your normal activities, and then find yourself back at square oneor worsewhen the pain inevitably returns

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