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Neuropeptide-Y innervation of the rat spleen: another potential immunomodulatory neuropeptide

In my own practice, especially if an older person has risk factors for vitamin B12 deficiency, I consider a vitamin B12 level of 200-400 pg/mL borderline, and I usually order a methylmalonic acid level as a follow-up

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In some instances, its use in dogs is off-label (extra-label), which means that it is used outside the scope of the original product label, but based on clinical evidence and veterinary professional judgment