Brief exposure to room temperature is usually fine, but extended warm-storage shortens shelf life
Cyanocobalamin may be recommended if a dogs vitamin B12 levels are low and the cause is related to poor absorption such as chronic gastrointestinal disease, exocrine pancreatic insufficiency (EPI), intestinal disorders, or other causes of a B12 deficiency
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The success of such an undertaking depends, however, on a few particular, both practical and theoretical, considerations
Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life
Gao, Xy., Hou, F., Zhang, Zp
