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[13] [9] Patients should report any changes in symptoms, particularly neurological manifestations, as these may indicate inadequate dosing or alternative diagnoses

Dosage and Administration: For Cattle, Horses, Swine, and Sheep: Cattle and Horses: 10 - 25 mL Calves and Foals: 5 - 12 mL Swine: 2.5 - 10 mL per animal Piglets, Lambs, and Kids: 1 - 2.5 mL For Dogs and Cats: Dogs: 0.5 - 5 mL Cats: 0.5 - 2.5 mL Precautions: 1.Use caution when administering to pregnant or lactating animals

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In most people, the most common signs of a vitamin B12 deficiency may include fatigue, lethargy, pins and needles in the hands and feet, oral problems, confusion, and irritability

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Yazaki et al., 2006