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Depending on the severity of the cobalamin deficiency and disease state, your veterinarian will either prescribe an oral supplement for daily usage or give an injection under the skin every one to two weeks

[1] Those who cannot digest or absorb B12 as a result of inherited genetics or damage to the stomach and small intestine require more than can be absorbed from sublingual supplementation

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Patients lacking intrinsic factor, those with gastrointestinal surgery, or severe neurological symptoms benefit most from injections

Vitamin B12 injections are available for $30 per injection