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Take it for veterinary evaluation and give vitamin b12 injection for dogs according to instructions given by the vet

Popular Brands Hospira (Pfizer) Cyanocobalamin Injection American Regent Cyanocobalamin Fresenius Kabi Cyanocobalamin Sandoz Cyanocobalamin Teva Cyanocobalamin Strengths 1000 mcg/mL (standard adult & clinical dose) 500 mcg/mL (pediatric or dose-adjusted therapy) 2000 mcg/mL (high-strength for severe deficiency) Typical regimen: 1000 mcg IM weekly, then monthly maintenance (per healthcare providers direction)

If you have a high-stress life, high caffeine intake, or high alcohol intake, you may need extra B12

In-Vitro Research Only Products are supplied exclusively as laboratory materials for legitimate in-vitro research, analytical testing, method development, or comparable non-clinical work conducted outside a living human or animal body in an appropriately controlled research environment

There have even been a number of published case reports detailing how certain suspected cases of HELLP syndrome actually end up being extreme vitamin B12 deficiency rather than typical preeclampsia