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If no improvement is noticeable, consider consulting your vet about treating simultaneously for Listeriosis, which has very similar symptoms but is more common in adult animals
There is no reason to have them more regularly if your client requires it, as normally the average time between a client needing another is after 6 weeks but some people even less, after 4 weeks
In United States, the diet is deficient in vitamin B12
What are Lipotropic (MIC) + B12 Injections
In this case, the body cannot absorb B12 from food because it lacks a necessary protein
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