Injections: For dogs with severe deficiencies or malabsorption issues, veterinarians often recommend B12 injections, which are given under the skin for more direct delivery
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1b, Supplementary Table S2)
In severe cases, prolonged B vitamin deficiency can lead to beriberi, pellagra, or Wernicke-Korsakoff syndrome, the last of which causes serious neurological problems
Both oral cyanocobalamin and injectable hydroxocobalamin list diarrhoea as a rare adverse reaction in UK product information
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