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While B12 injections are a powerful tool, they arent always the only or best answer

WHO SHOULD AVOID VITAMIN B12 INJECTIONS

Researchers are exploring oral and nasal delivery systems, but none are commercially available

Cyanocobalamin may be recommended if a dogs vitamin B12 levels are low and the cause is related to poor absorption such as chronic gastrointestinal disease, exocrine pancreatic insufficiency (EPI), intestinal disorders, or other causes of a B12 deficiency

Vitamin B12 can help combat and prevent a wide range of diseases

Similarly, Vitamin B12 levels can be reduced in mothers with pernicious anemia, an autoimmune disorder that limits Vitamin B12 absorption, and mothers who have undergone gastric bypass surgery