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Diagnosis of cobalamin malabsorption usually involves bloodwork to measure serum cobalamin levels and may include genetic tests, especially for informed breeding decisions
Though extremely rare, some dogs might show an allergic reaction to a B12 supplement, especially if it contains additional ingredients

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They may need to rely on supplements or vitamin B12 injections to maintain adequate levels, and the frequency of supplementation will affect how long the vitamin stays in the body

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