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However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future

It could be anything, from bad nutrition habits to co-morbidities: Lower serum vitamin B12 levels have been related to adverse metabolic health profiles, including adiposity

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The inclusion of benzyl alcohol acts as a preservative, inhibiting bacterial growth in the solution