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(4) If the exact value would change management, the clinician may need to ask whether dilution or another confirmatory step is available, since "greater than 1,000 ng/L" can hide a B12 level that is markedly elevated

However, if you think your pup might benefit from a supplement, talk to your veterinarian

2015 Apr;63(4):636-40

Adults should not assume that tiredness, poor concentration, or tingling always mean low B12, because many other health conditions can cause similar symptoms

Vitamin B12 injections are generally considered safe when administered by a trained healthcare professional following a suitability assessment