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They include: Chronic diarrhea Weight loss despite normal or increased appetite Lethargy, weakness, or low energy Muscle wasting (atrophy) Poor appetite Neurologic signs in advanced cases (e.g., confusion, tremors) If your dogespecially breeds predisposed to EPI or IBD [inflammatory bowel disease] like German Shepherds, Border Collies, Beagleshas ongoing GI issues, then a serum cobalamin test may be recommended, Dr

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Alveolar bone resorption was estimated by calculating the distance between the cemento-enameljunction (CEJ) and the crista alveolaris around the mandibular first molars ( Fig

Patients being treated for B12 deficiency may receive higher doses, but should be under a doctor's care