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Diarrhea Extreme weight loss Loss of appetite or eating more than usual Lack of energy Weakness Excessive sleepiness Refuses to exercise or play Lack of muscle mass Altered mental state Seizures Death Border Collie Giant Schnauzer Beagle Worried about the cost of treating your pet's symptoms

B12 supplementation is also indicated to prevent the development of symptoms

The mechanism involves improved fat oxidation rather than appetite suppression

There is not as much evidence regarding long-term efficacy or safety of gel vitamin B12 compared to injections, but at this time it appears B12 gel works similarly to raise blood levels