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Common symptoms include: Weight loss or failure to gain (especially in puppies) Chronic diarrhoea or soft stools Lethargy and general weakness Inappetence or fussy eating Intermittent vomiting Flatulence or digestive discomfort Poor coat condition or dull fur Neurological signs (e.g., tremors, confusion, ataxia) Low folate or folate imbalance on bloodwork In puppies or young dogs with genetic B12 absorption issues, growth may be stunted , and immune function may be compromised

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Every vitamin B12 shot at our La Grange clinic is given as an intramuscular injection into the deltoid (upper arm) by a licensed clinician under nurse-practitioner supervision