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Cyanocobalamin is contraindicated in these individuals as the cyanide moiety may worsen optic nerve damage
[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause
[7] [4] Folate levels should be checked before or alongside B12 treatment
Your dogs body relies on B12 for: Nerve function: B12 helps form myelin, which coats and protects the nerves
This shift in cellular chemistry is associated in rodent studies with altered substrate utilisation
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