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There is not as much evidence regarding long-term efficacy or safety of gel vitamin B12 compared to injections, but at this time it appears B12 gel works similarly to raise blood levels

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Chronic poor nutrition: In dogs that have had inadequate diets over extended periods, the combination of low dietary B12 and a compromised gut from malnutrition can contribute to deficiency

One medication may be enough Many patients do well with one medication and continue making progress with regular follow-up

To ensure shelf life, researchers should store the container in a cool, dry place, away from direct sunlight, heat, and moisture