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In difficult diagnostic cases of suspected vitamin B12 deficiency, when laboratory cobalamin test results do not correlate with clinical symptoms, it may be helpful to determine serum methylmalonic acid (MMA) or homocysteine levels [51,52,53]

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Administer subcutaneously: Administer Subcutaneously-Picture Courtesy: Southern Cross Vet Clean the skin between shoulder blades with alcohol then administer vitamin b12 injection for dogs subcutaneously

[Abstract] Nanoscale