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clearing the confusion"
As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI
Sterile water has no preservative, so once opened, it can grow bacteria, it must be used immediately
Clients with known deficiency, gastrointestinal absorption issues, or strict plant-based diets are candidates for ongoing injection series
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