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The two must be combined to be effective, but as methylcobalamin is not a licensed prescription medicine in the UK, it is not recommended by UK health authorities, nor it is not available through Blemish Clinic

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Second, dosing protocols in the community are all over the place

That said, if any adverse effect is suspected to be dose-related, the dose can be reduced

For a comprehensive list of all possible side effects of this medication, consult a veterinarian