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What are the benefits of B12 injections

Since the body receives the vitamins more efficiently, many patients experience noticeable improvements in their energy levels, immune function, and overall health soon after treatment

Aust Fam Physician 2016;45(5):303-6

For most people, this is impractical and increases the risk of dosing errors

In some cases, a bone marrow biopsy may be necessary

As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI