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Hormonal optimization is often the missing piece

In dogs affected with atypical hyperadrenocorticism caused by sex steroid overproduction, dermatologic changes (alopecia, poor hair coat) and reproductive manifestations (perianal adenoma in a castrated male or female dog) are often the only signs suggestive of sex steroid imbalance

One commonly reported pathology in ariboflavinosis is impaired vision, but the link between loss of vision and riboflavin deficiency is unexplored [4,7]