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These effects may impair individual functioning and contribute to broader public-health concerns, including increased engagement in risky behaviours and an elevated mental-health burden

doi: 10.1530/eje.1.02028 113 MattsonMPLongoVDHarvieM

[7] [9] As with all parenteral medications, administration should be avoided in the presence of local or systemic infection at the injection site

The study concluded that serum cobalamin levels should be monitored as some dogs may need long-term supplementation
