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If your B12 level is below 200 pg/mL (picograms per milliliter), you're considered to have a deficiency

Using B12 Supplementation to Improve Quality of Life in Dogs Some dogs entering shelters are emaciated as a result of chronic malnutrition

Suggested Timing If you are taking multivitamins and calcium supplements, take them at different times of day

Its not uncommon in medicine to encounter situations where a treatment, especially one addressing a longstanding deficiency, might initially seem to exacerbate symptoms
