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This is a hereditary condition and occurs in Australian Shepherds, Border Collies, Chinese Shar-Peis, Beagles, and Giant Schnauzers

Standardizing on a single preparation source helps reduce variability and maintains consistency across multiple reconstitution sequences

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Any disruption along this pathway can lead to deficiency regardless of dietary intake, which is why some patients need supplementation even when they eat B12-rich foods

Better energy and oi have been able to lose some weight