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d-Panthenol, 10-mg

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Consider discussing B12 testing with your vet if your dog has: Had chronic or intermittent diarrhoea for more than a few weeks without a clear resolved cause Lost weight progressively despite adequate food intake Been diagnosed with a chronic gut condition, such as inflammatory bowel disease or exocrine pancreatic insufficiency A history of poor early nutrition, such as a recently rescued stray or previously malnourished dog Been through multiple courses of treatment for digestive symptoms without sustained improvement A young dog or puppy that is not developing or gaining weight as expected Causes of Vitamin B12 Deficiency in Dogs Vitamin B12 deficiency in dogs is almost always caused by a problem with absorption rather than a lack of B12 in the diet

Your GP may arrange further blood tests, imaging studies, or referral to specialist services depending on clinical suspicion and initial investigation results

Having an autoimmune disease : Some autoimmune diseases can damage the stomach lining (including pernicious anemia) where intrinsic factor is produced

In Phase 2 trials, Ara-290 has been studied for small-fiber neuropathy in sarcoidosis, diabetic neuropathy and neuropathic pain, with reports of improved neuropathic symptom scores and corneal nerve-fiber measures [11]