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Patients may also notice a change in the amount of tears or saliva that they produce

We erred on the side of lower passive absorption for children and decided not to recommend doses less frequently than once per day for children up to 3 years of age

However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future

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