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Use only in controlled laboratory settings by qualified personnel following appropriate safety procedures.

Your prescribing doctor must review your complete medication list to identify any specific contraindications or dose adjustments needed

As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI

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