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Fortified dog food: Some commercially available pet foods, especially those for senior dogs or those with specific health conditions, are fortified with extra vitamins, including B12

For a non-dietary cause, maintenance is usually one injection every two to three months for life

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The most common side effect of B12 injections is irritation at the injection site, and injections are typically administered intramuscularly or subcutaneously. Less common side effects may include headache, nausea, diarrhea, itching, or a brief feeling of lightheadedness after the injection