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Dogs diagnosed with conditions such as exocrine pancreatic insufficiency or inflammatory bowel disease often struggle to absorb B12 through the gut properly, which is exactly where an injectable form becomes a more reliable way to get the nutrient into the bloodstream directly

But because unexplained hypercobalaminemia has been consistently associated with an elevated risk of subsequent cancer diagnosis in large population studies, its one of those lab results worth following up on rather than hoping it goes away

GHK-Cu: Generally well-tolerated

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Recognizing deficiency symptoms and understanding who is at increased risk can help guide the decision-making process

PMID: 31237318