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[DOI] [PMC free article] [PubMed] [Google Scholar] 89.Wu T, Hu E, Xu S, Chen M, Guo P, Dai Z, et al

Vitamin B12 Injections Derby A Vitamin B12 injection is an intramuscular shot that delivers high doses of Vitamin B12 (Cobalamin) directly into the bloodstream

Because dogs cannot produce vitamin B12, or cobalamin, they must obtain it from the diet

That is why it is important to measure both B12 and MMA at the same time, as an elevated MMA can indicate B12 deficiency even if the B12 is normal. When the levels come back, ask to see them yourself and ask questions of your doctor if there is any question of normal B12 metabolism. In my case, my B12 levels were very low and my MMA levels were very high, indicating B12 deficiency