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Ive had minimal side effects (slight nausea and sleepiness day of and day after an injection)

Injectables (as cyanocobalamin) can be done at your vet's office at home (if you know how to do it)

Deplete vitamin B12 storage Vitamin B12 is water-soluble, however, unlike other water-soluble vitamins, it is stored in the body for several months before it gets flushed out

Anemias can be caused by deficiencies in different micronutrients, such as iron, folate, vitamin B 12 , vitamin A and riboflavin, but iron deficiency is the primary cause of anemia during pregnancy (1)