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It would seem it is hardly covered in Med schools these days and there is an over emphasis on the recognition of it through the anaemia it causes whereas neurological symptoms usually occur before the anaemia

Worsening cramps after gastric sleeve surgery are most commonly caused by hormonal changes as oestrogen and androgen levels shift during significant weight loss, the resumption of ovulatory cycles, and nutritional deficiencies such as low iron or magnesium

Elderly or Renal Impairment: Lower dose recommended (15 mg every 6 hours max 60 mg/day)

Please consult with your veterinarian before administering Rx B12 to your dog and any questions or concerns you have regarding this medication

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