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Vitamin B12 supplementation can be an important part of treatment for dogs with any of these conditions: Small intestinal bacterial overgrowth (SIBO) Surgeries that shorten bowel length Cancer of the intestinal tract Familial cobalamin deficiency (a genetic condition) Eating a vegan diet that isnt designed by a veterinary nutritionist Veterinarians will routinely run blood tests to check a dogs vitamin B12 levels after they have diagnosed any of these health problems or if the dog has symptoms that fit with a vitamin B12 deficiency

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Blood tests show equivalent B12 status whether supplementing with cyanocobalamin or methylcobalamin at equal doses

Hyponatremia can occur with adrenal insufficiency, but the normal vital signs and intervening symptom- free periods makes this diagnosis unlikely

Anti-aging peptides potentially slowing cartilage degeneration though cannot fully reverse age-related decline

3) There is a risk you will overdose if we give it too early (the GP)