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A low reticulocyte count can be a sign of B12 deficiency because the bone marrow cannot make red blood cells without B12

mild headache and transient flushing rep

These symptoms are often more noticeable at the start of treatment or when the dose is increased, and for many people they improve over time

Contains Lidocaine for Comfort : The addition of lidocaine helps minimize discomfort during the injection, ensuring a comfortable experience

If your dog is suffering from inherited selective cobalamin malabsorption, chronic enteropathies, or EPI, your vet may recommend 250 to 1,000 mcg of cobalamin, taken orally once a day