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The initial treatment involves daily intramuscular (into the muscle) vitamin B12 injections
However, whether oral bioavailability translates meaningfully to humans has not been established in clinical trials
Pull the calculated volume corresponding to the target dose (1 mcg/kg to 10 mcg/kg) into an insulin syringe (28 to 31 gauge) to minimize tissue trauma at the injection site
For example, dogs who cannot absorb Vitamin B12 in their intestines do not respond to oral vitamin B12 supplementation
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