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While generally well-tolerated, some individuals may experience side effects such as: Irritation or redness at the injection site Temporary fatigue or nausea Immediate medical consultation is recommended if you experience severe side effects or allergic reactions

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If your dog is suffering from inherited selective cobalamin malabsorption, chronic enteropathies, or EPI, your vet may recommend 250 to 1,000 mcg of cobalamin, taken orally once a day

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