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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

But ultimate approval seems likely given Kennedys demonstrated enthusiasm for peptides

This means there is less B12 getting into the body

Private insurance: Most commercial plans recognize J3420 as the correct HCPCS code for cyanocobalamin injections, but coverage depends on the specific plans benefit design

Both B12 vitamins and injections can help treat a B12 deficiency, although your body will absorb injections much quicker and more easily