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It is a prescription medicine, administered by qualified medical practitioners following clinical guidelines
Conditions that can cause cobalamin deficiency include: Inflammatory bowel disease (IBD) Exocrine pancreatic insufficiency (EPI) Pancreatic cancer Chronic enteropathy Alimentary lymphoma Small intestinal dysbiosis Inherited selective cobalamin malabsorption Inherited selective cobalamin malabsorption, which is known as Imerslund-Grsbeck syndrome (IGS) in humans, makes a dog genetically predisposed to have difficulty absorbing cobalamin
Those who have had a gastric bypass or other bariatric surgery [*]
Common injection sites: For Intramuscular (IM): Upper arm (deltoid) Outer thigh (vastus lateralis) often the easiest self-injection site Upper outer gluteal muscle usually requires assistance For Subcutaneous (SQ): Abdomen (at least 12 inches away from the navel) Outer thigh Back of the upper arm What are the side effects
