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Vitamin B12 supplementation can be an important part of treatment for dogs with any of these conditions: Small intestinal bacterial overgrowth (SIBO) Surgeries that shorten bowel length Cancer of the intestinal tract Familial cobalamin deficiency (a genetic condition) Eating a vegan diet that isnt designed by a veterinary nutritionist Veterinarians will routinely run blood tests to check a dogs vitamin B12 levels after they have diagnosed any of these health problems or if the dog has symptoms that fit with a vitamin B12 deficiency

Some fermented foods and algae contain B12 analogues, but these are generally not bioavailable to humans and should not be relied upon to meet requirements

The nerve damage of vitamin B12 deficiency may be related to this

The same isnt always true for ingredients found in lipotropic injections