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Per the Product Introduction on Amazon.com, "A-30" is an amino acid developed based on the results of Professor Toru Miyazaki, but there appears to be no mention of it in the ingredient list (as translated from Japanese): Corn, glutenmeal, chicken, beef, pork, animal oil, wheat flour, fish extract, roasted peanuts, dietary fiber, vegetable oil, yeast, chicken liver powder, starch powder, tuna and bonito shaved powder, lactic acid bacteria, agaryx, cranberry, sesamin, minerals (Pa, Cl, Ca, K, Zn, Fe, Cu, Co, Mn, I), amino acids (Cystine, Methionine, Taurin), Vitamins (AB1, B2, B6, B12, C, D3, E, K3, Colin, Nicotinate, Pantothenate, Biotine, Folic Acid), Seasoning, Antioxidants (mix tocopherol, herb extract)

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Liver dysfunction also can involve a reduction in cobalamin reserves, as the liver is the main storage site