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Use of this product intravenously will result in almost all of the vitamin being lost in the urine

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A recent study has examined the effect of cobalamin supplementation on the outcomes of treatment for feline patients with severe cobalamin deficiency and histories suggesting chronic gastrointestinal disease.5 In this study, serum concentrations of methylmalonic acid normalized following parenteral cobalamin supplementation, indicating that cobalamin deficiency was the cause of the high methylmalonic acid in serum

I have taken three doses and have noticed a difference in my hunger levels and have lost few pounds