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Manage underlying health conditions: Treating conditions like liver disease, kidney dysfunction, or blood disorders can help bring B12 levels back into a normal range 7 , 11

Other Digestive enzyme supplements: If your dogs B12 deficiency is due to a digestive issue like EPI (see above section, What can cause B12 deficiency in dogs?), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients

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This can prevent the adverse effects that may come if you have no deficiency to correct

Just start AOD-9604 at 0.25 mg daily and increase as tolerated