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Patients with neurological involvement require more intensive initial treatment with injections on alternate days until no further improvement occurs
Interestingly, we found that only VitB12 levels were significantly increased in the insomniac group and independently associated with the presence of insomnia after adjusting for confounding factors (which differed between the two groups and have been shown to impair sleep)
Combined with vitamin B12, the result is a single injection that supports both energy production and fat metabolism
While more canine-specific research is needed, what we know so far paints an optimistic picture
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