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the status of others is less clear

Vitamin B12 Deficiency in Dogs Without enough vitamin B12, many of a dogs enzymatic and metabolic processes cant proceed normally, which results in clinical signs like: Poor growth in young animals Anemia (low red blood cell counts) Neurologic dysfunction Importantly, these signs are also often seen with the very health problems that lead to vitamin B12 deficiency

This is an extreme scenario that proper dosing and monitoring makes virtually impossible

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If you take B12 supplements and your level is high, thats almost always the explanation