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Consider discussing B12 testing with your vet if your dog has: Had chronic or intermittent diarrhoea for more than a few weeks without a clear resolved cause Lost weight progressively despite adequate food intake Been diagnosed with a chronic gut condition, such as inflammatory bowel disease or exocrine pancreatic insufficiency A history of poor early nutrition, such as a recently rescued stray or previously malnourished dog Been through multiple courses of treatment for digestive symptoms without sustained improvement A young dog or puppy that is not developing or gaining weight as expected Causes of Vitamin B12 Deficiency in Dogs Vitamin B12 deficiency in dogs is almost always caused by a problem with absorption rather than a lack of B12 in the diet

Serosal disturbances were scored 04 for several categories

This is not established in clinical guidelines, but anecdotal reports suggest some users experience renewed appetite suppression after a 2-4 week period at a reduced dose followed by return to their previous level

As an internal medicine physician who takes a root cause approach, I see this pattern constantly patients whose immune systems are stuck in overdrive, attacking their own tissues while simultaneously failing to fight off infections