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Methylcobalamin is light-sensitive and degrades with UV exposure, so never store these tablets in a clear container on a windowsill or under bright lights

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However, 24 patients did not complete the 90-day period due to various reasons: two patients started other intranasal medications, five voluntarily withdrew, nine were excluded by researchers for non-compliance, seven were lost to follow-up, and one patient died

Other Digestive enzyme supplements: If your dogs B12 deficiency is due to a digestive issue like EPI (see above section, What can cause B12 deficiency in dogs?), then adding a digestive enzyme supplement can help them break down food better and may improve the absorption of B12 and other nutrients