Patients should be aware that hydroxocobalamin may cause side effects such as nausea, vomiting, and diarrhea
B12 injections are a safe, fast, and effective method to raise vitamin B12 levels in the body, especially for people with absorption problems
A second medication may be added later If progress slows, your provider may add a second medication to help restart momentum
If these develop while taking supplements, they warrant medical assessment to rule out ongoing deficiency or other neurological conditions
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
Falutz J, Mamputu JC, Potvin D, Moyle G, Soulban G, Loughrey H, Marsolais C, Turner R, Grinspoon S