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Atrophic Gastritis: Chronic inflammation of the stomach lining that reduces stomach acid and intrinsic factor

In a healthy dog, the pancreas, intestines, liver, and kidneys are all needed to properly absorb and store this B12

While those with a true vitamin B12 deficiency benefit most from vitamin B12 injections, you dont have to have a clinically low diagnosis or low levels to reap the benefits of the treatment

Smoking and acidic foods can aggravate mouth ulcers

10.1016/s0928-4257(99)00119-9 [DOI] [PubMed] [Google Scholar] Sikiric P., Mikus D., Seiwerth S., Grabarevic Z., Rucman R., Petek M., et al

While you certainly can boost the amount of B12 in the foods that you eat by changing up your diet, if your issue is with absorption of the vitamin then the problem will remain