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If youre concerned that your dog may be deficient in B12, or if your dog is suffering from chronic gastrointestinal symptoms, its best to see your veterinarian for a physical exam

The doctor may also recommend additional tests to find out just why an older person has developed low vitamin B12

Evidence strength refers to the body of evidence available for a particular question and includes consideration of study design, individual study quality, the consistency of findings across studies, the adequacy of sample sizes, and the generalizability of samples, settings, and treatments for the purposes of the guideline

Clinical research has generally demonstrated favorable tolerability, though individual responses vary

Association between serum vitamin B12 levels and the degree of steatosis in patients with non-alcoholic fatty liver disease

Nitrous oxide (used in anaesthesia or misused recreationally) inactivates vitamin B12 and can precipitate or worsen neurological injury in patients with B12 deficiency