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They may recommend a simple blood test to check your dogs cobalamin levels, or a full workup to rule out other potential causes

In April 2026, the UK medicines regulator opened an investigation into peptide clinics making health claims about compounds they cannot legally sell as medicines [1]

The absence of severe thrombocytopenia and the presence of macrocytosis and highly elevated LDH suggested PTMA due to vitamin B12 deficiency

Cyanocobalamin is distributed into breast milk in amounts similar to those in maternal plasma, and distribution in breast milk allows for adequate intakes of cyanocobalamin by breast-feeding infants