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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

Galindo is supported in part by grants from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institute of Health (NIH) under award numbers P30DK111024, 1K23DK123384, 1R03DK138255, and 1U2CDK137135

You should see your health care professional if you have the following issues: Blood in your stool (black stools or bright red blood from red blood cells) Foul-smelling stools Constipation (less than 3 bowel movements a week) Diarrhea for more than two days, especially if accompanied by vomiting Alternating cycles of constipation and diarrhea without any obvious cause Symptoms like severe abdominal pain, anal pain, nausea, vomiting, or unexplained weight loss Constipation paired with abdominal or anal pain could be related to underlying medical conditions such as infections, autoimmune disease, hyperthyroidism, gastrointestinal tumors, and fat malabsorption disorder

Schijven, D