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Other Digestive enzyme supplements: If your dogs B12 deficiency is due to a digestive issue like EPI (see above section, What can cause B12 deficiency in dogs?), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients

What to Expect Before Getting a B12 Shot A nurse or doctor will confirm your deficiency Injection is usually given in the shoulder Slight pinch or sting for 23 seconds Possible brief dizziness or tingling Pre-shot tips: Eat something beforehand Wear loose clothing Stay seated for 10 minutes after What to Expect After Getting a B12 Shot Slight soreness at the injection site Redness or bruising (rare but not harmful) Headache or tiredness in the first 24 hours Most feel normal or better after 12 days Aftercare: Drink water Avoid strenuous activity if dizzy Monitor for swelling or allergy signs Alternatives to B12 Injections: Supplements and Food Sources Not everyone wants or needs a shot

Doctors don't seem to know about this though unfortunately

For draw volumes over 0.5ml and up to 1ml, a 1ml syringe may be suitable if your instructions confirm it

Magnesium and B vitamins , commonly included in migraine IV cocktails, have shown potential in research studies to reduce migraine frequency over time when levels are optimized in your system

higher doses or long-term use can increase risk