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Managing this condition requires lifelong B12 supplementation (usually via injection) and regular veterinary monitoring

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An intradermal test dose is recommended prior to administration in patients suspected of being sensitive to the drug

For example, a 1,000 mcg dose might be in 1 mL of solution, but this can vary with different formulations

Clinical evaluation included daily assessment of lameness, defined as the inability of the rabbit to bear weight and maintain the typical flexion-extension cycle of the affected limb compared to the unaffected limb