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Also, some peopl have an autoimmune or inflammatory condition of the stomach wall that degrade the proteins that aid vitamin B12 absorption

Take it for veterinary evaluation and give vitamin b12 injection for dogs according to instructions given by the vet

Elevated levels of these markers are a much more sensitive sign of a true deficiency than the standard B12 test alone

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Antioxidant cofactor activity : Acts as a copper cofactor for SOD-type antioxidant enzymes in lab models

Individuals with Medical Conditions : Conditions like Crohns disease, celiac disease, and pernicious anemia can impair B12 absorption