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However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future

For most injuries, 200-500mcg per injection is effective, typically taken twice daily

The recognised reasons above, particularly the shift in potassium and the body adjusting to corrected levels, explain the symptoms without needing a detox theory

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