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If there are visible symptoms eg red, inflamed, swollen etc might be worth taking a photo which you could send to GP if needed

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Kempf, B

Its also important to note that dogs with severe deficiencies or malabsorption issues may respond better to injectable B12 than an oral supplement

& Thiele, D.J

Histologically, the severe hepatic degeneration, hepatocyte vacuolation as well as massive lymphocyte and mononuclear cellular aggregation induced by t-BHP were also reversed