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Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord

Recognising signs of deficiency early and working with your vet to ensure proper intakewhether through diet, supplements, or injectionscan significantly improve your pets quality of life

This creates localized high concentrations that promote aggregation

Cyanocobalamin, the second form, is the most common form of B12 provided at physician offices and in over-the-counter supplements