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The dietary source of cobalamin in pet foods has historically been animal products, although most pet food contains bioavailable synthetic cobalamin produced by microbial fermentation

Common side effects include, but may not be limited to: pain or redness at the injection site mild diarrhea pruritus (itching) increased swelling joint pain dizziness headache nervousness or anxiety Serious side effects may include: allergic reactions peripheral vascular thrombosis hypokalemia (low potassium levels) pulmonary edema (fluid build-up around or in the lungs) thrombocytosis congestive heart failure There have been reports of anaphylactic shock and death after the parenteral administration of vitamin B12

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doi: 10.1016/j.jamda.2019.03.030

The right protocol depends on factors like your baseline metabolic health, body composition, and other therapies you might be using