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Depending on the severity of the cobalamin deficiency and disease state, your veterinarian will either prescribe an oral supplement for daily usage or give an injection under the skin every one to two weeks

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Important safety information includes a boxed warning for thyroid C-cell tumors (contraindicated in patients with personal/family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2) and warnings for pancreatitis, gallbladder disease, acute kidney injury, and hypoglycemia risk when used with insulin or sulfonylureas

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Its research relevance relates to its observed effects on the organisation of the repair response, regenerative processes and the modulation of mechanisms responsible for the restoration of tissue continuity