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While ruminants can synthesize B 12 via gut bacteria if soil cobalt levels are adequate, monogastric animals like swine and poultry require direct supplementation through fortified feed to maintain health and growth rates in intensive farming environments
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If pain or redness persists or you notice swelling, contact your healthcare provider to determine whether you might be experiencing a local reaction to the injection or have an infection
Patients should only consider compounded alternatives from reputable, accredited compounding pharmacies
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