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Gastric IM is more common among those of Hispanic and East Asian descent

This means that despite consuming a balanced diet, affected dogs might still face a B12 deficiency

Dogs diagnosed with conditions such as exocrine pancreatic insufficiency or inflammatory bowel disease often struggle to absorb B12 through the gut properly, which is exactly where an injectable form becomes a more reliable way to get the nutrient into the bloodstream directly

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It has been studied specifically for its role in intestinal inflammation, with preclinical research showing it can reduce pro-inflammatory cytokine activity in gut tissue