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As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

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They are often used alongside other tools like appetite suppressants, nutritional counseling, or meal replacements

Vitamin B12 deficiency is relatively common, particularly among older adults, vegetarians, vegans, and individuals with certain digestive conditions

Besides knowing how long a vitamin B12 injection lasts, you also need to know how much it's going to cost you to administer it