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This can occur when a dog has a health condition, such as inflammatory bowel disease or pancreatitis, that prevents their digestive system from properly absorbing nutrients from the food he eats

However, women who are pregnant, breastfeeding, or planning pregnancy should avoid 5-amino-1MQ due to insufficient safety data

For those with neurological symptoms, hydroxocobalamin 1 mg is given on alternate days until no further improvement is observed, as recommended by NICE guidance and the product information

Vitamin injections, such as vitamin B12, glutathione, or lipotropic injections, deliver a more targeted dose quickly