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[3] The British Society for Haematology guidelines emphasise that the response to treatment should be monitored through clinical assessment and blood count testing, rather than routine measurement of B12 levels after treatment has started

This means your medication came lyophilized and needs to be mixed

If your healthcare provider diagnoses you with a B12 deficiency, they may recommend that you start taking a supplement, which is available in pill form that needs to be swallowed as well as in a sublingual form you just pop under your tongue

While its important to give vitamin supplements as directed by your veterinarian and as directed on the label, giving your dog higher amounts of Vitamin B12 is safe