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Hypocobalaminemia is regularly seen in canine and feline small intestinal disease and exocrine pancreatic insufficiency (EPI)
The practical rule: do not leave opened BAC water at room temperature for more than 72 hours
This deficiency is more common among people who have had gastric surgeries or pernicious anemia
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Some patients get progressively better, and after a series of treatments, they no longer require ongoing weekly Vitamin Therapy, only monthly treatments to maintain balance
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