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The dosing schedule should be determined by a healthcare provider, with periodic monitoring of vitamin B₁₂ levels and clinical symptoms to adjust therapy as needed

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Other Digestive enzyme supplements: If your dog’s B12 deficiency is due to a digestive issue like EPI (see above section, “What can cause B12 deficiency in dogs?”), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients