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Conclusion Theres no doubt that Vitamin B12 must be a part of your dogs nutrition plan
The 2025 ACG abstract by Park et al
Pinkham, K

Because B12 is water-soluble, excess is excreted by the body

Powers JH, et al: Sample size and ethics non-inferiority trials

The Placebo Effect and Psychological Factors Some reported benefits might stem from the placebo effect, where the belief in the treatment's efficacy leads to perceived improvements
