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Renal Impairment: Use with caution in patients with renal issues, particularly those receiving high doses of Vitamin B12

While rare, an allergic reaction is possible with any medical procedure or treatment

EVs were injected into the area of the main trunk of the facial nerve on the affected side, and an intravenous drip of EVs on visits during weeks 1, 2, and 4

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Most patients should be taking oral supplements, but some might need the parenteral form of administration because the absorption of oral vitamins, minerals, and other substances are not adequate for good health and recovery

Therapeutic Diet Dogs with B12 deficiency typically benefit from: Highly digestible proteins (e.g., turkey, chicken, white fish) Moderate fat levels (especially in GI or pancreatic cases) Soluble fibre (e.g., pumpkin, psyllium) to aid gut healing Probiotics and prebiotics to restore the microbiome Digestive enzymes (if needed in EPI) Foods to Avoid in B12-Deficient Dogs Unbalanced homemade meals without supplementation Raw bones or overly fatty meats (hard to digest with EPI or IBD) Grain-free, high-legume kibbles (may worsen gut inflammation) Vegan diets contain no natural B12 Raw fibrous vegetables may irritate an already inflamed gut Long-Term Management & Monitoring For chronic or genetic B12 deficiency, lifelong management may be needed