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Note that if your dog has been diagnosed with inflammatory bowel disease (IBD) or another chronic GI disorder, treatments for that underlying condition may not be effective until a healthy B12 level has been restored

This possibility becomes especially important when considering vitamin replacement therapy

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This includes your doctors, nurses, pharmacists, and dentists

Improvements in symptoms related to vitamin deficiencies may start appearing within a few days or weeks after starting the injections

Pallor: Skin may appear pale or sallow, especially on the face and inner eyelids