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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

Cobalequin for Medium and Large Dogs Manufacturer's suggested use: Dogs 22100 lbs, 1 chewable tablet per day

In the following cases, the B12 status should first be checked: Multiple sclerosis (MS) Alzheimer/dementia Autism Fibromyalgia Chronic pain Crohns disease Palsy Chronic mental illness (depression, paranoia, schizophrenia) Impotence and infertility Vitamin B12 Deficiency Symptoms Unfortunately Non-Specific As we have discussed, the symptoms of B12 deficiency are not clear

Very close monitoring is essential if parenteral magnesium has to be given in the face of an underlying myocardial condition