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Depending on the severity of the cobalamin deficiency and disease state, your veterinarian will either prescribe an oral supplement for daily usage or give an injection under the skin every one to two weeks

Common side effects of HCG and B12 treatments include headache, fatigue, and irritability, so if you experience any of these symptoms, it's important to talk to your doctor about ways to alleviate them

For dietary deficiency, referral to a dietitian can provide valuable guidance on food sources and supplementation strategies

Although epidemiologic studies have shown an association between vascular disease and hyperhomocysteinemia, large randomized controlled trials have shown that lowering homocysteine levels in these patients does not reduce the number of myocardial infarctions or strokes, or improve mortality rates