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Moderate Side Effects (Less Common): Symptoms that cause some interference with daily activities but remain manageable with simple interventions like dietary modifications, over-the-counter remedies, or temporary dose adjustments

E., & Apostolakos, J

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Conditions that can cause cobalamin deficiency include: Inflammatory bowel disease (IBD) Exocrine pancreatic insufficiency (EPI) Pancreatic cancer Chronic enteropathy Alimentary lymphoma Small intestinal dysbiosis Inherited selective cobalamin malabsorption Inherited selective cobalamin malabsorption, which is known as Imerslund-Grsbeck syndrome (IGS) in humans, makes a dog genetically predisposed to have difficulty absorbing cobalamin