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Cobalamin Supplementation There are two primary routes: Parenteral (Injection) 2501,000 g subcutaneously once weekly for 46 weeks Followed by monthly maintenance if required Oral (Cyanocobalamin or Methylcobalamin) High-dose oral B12 (e.g., 250500 g/day) can be effective even in dogs with malabsorption due to passive diffusion Methylcobalamin may be more bioavailable, though veterinary research is still emerging 2