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A thorough workup comes first, which includes fecal exams, baseline blood work, urinalysis, and nutritional history. If your pet is eating a homemade diet, an unregulated brand, or a raw diet, they may be deficient in vitamin B12, Dr

Infection Skipping skin cleaning or reusing a needle can introduce bacteria

You may wish to discuss testing with a healthcare professional if you: Experience ongoing unexplained fatigue Follow a vegan or vegetarian diet Have a history of gastrointestinal surgery or digestive conditions Have previously been diagnosed with low B12 Have symptoms such as numbness, tingling, or cognitive changes Testing helps determine whether B12 injections are appropriate or whether another cause should be investigated

It typically ranges from PKR 150 to 400 per ampoule