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Kevin Jones, a board-certified emergency medicine physician who has cared for patients in Central Oregon emergency departments for more than a decade

Using this compound as a marker of cobalamin deficiency, we have been able to demonstrate that cats and dogs with very low serum cobalamin do indeed have a significant tissue-level cobalamin deficiency (Figure 2)

The split-dosing approach (3x weekly vs once weekly) is described as maintaining more consistent hormone levels and reducing peak-related side effects

These injections combine hydroxocobalamin with lipotropic compounds (methionine, choline, inositol) purported to support fat metabolism