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189 In contrast, from a prophylactic approach, another research group proposed what they deemed a cost-effective approach of yearly injections of 1000 g of vitamin B12 to every patient on metformin to reduce the risk of deficiency and also stated that this could remove the requirement for annual screening, though this has not been empirically tested

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A veterinarian should decide on the appropriate dosage and treatment schedule, depending on the condition and vitamin B12 levels of the dog

Use these answers for common situations, and for complex medical plans (especially diabetes), get a personal answer from a trusted scholar with medical advice

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