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Hormone and metabolic support: Adequate zinc helps regulate thyroid and testosterone activity, which can positively influence energy, mood, and metabolism

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Injections: For dogs with severe deficiencies or malabsorption issues, veterinarians often recommend B12 injections, which are given under the skin for more direct delivery

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Initial treatment for B12 deficiency with neurological involvement: When elderly patients present with neurological symptoms (peripheral neuropathy, cognitive impairment, subacute combined degeneration of the cord), urgent and aggressive replacement is essential to prevent irreversible damage