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Adverse Reactions / Side Effects Most patients tolerate hydroxocobalamin injections well

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

The response rate was equally striking: 91.7% of participants achieved at least 10% weight loss

People can also have 'normal' levels of B12 in their blood, but be symptomatic - this is known as a functional B12 deficiency

After this was diagnosed and treated, I felt much better, but I was still suffering from sporadic episodes of diarrhea and stomach pains