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[1] Without intrinsic factor, dietary B12 cannot be absorbed effectively, leading to deficiency regardless of dietary intake

IM administration should be done with an appropriate needle to reach muscle tissue, and the site should be rotated (for example, alternate buttocks) if injections are repeated regularly to avoid soreness

Maternal vitamin B12 levels at approximately 18 weeks gestation is a reliable predictor of vitamin B12 status in lactation and in the infant through the first 6 months of life

Enlarged spleen and/or liver: The vet may or may not be able to tell that the spleen or liver is larger when palpating the abdomen