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With intramuscular (IM) injections the standard treatment for severe deficiency or malabsorption conditions like pernicious anaemiaserum B12 levels rise rapidly, typically reaching therapeutic ranges within 2448 hours after the first injection
Cobalamin blood levels can be monitored, and many veterinarians prefer to check these levels at the time of diagnosis for GI disease, as well as periodically during treatment, to determine if B12 levels are remaining normal
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