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DOI: 10.1158/1055-9965.EPI-17-1136 Morales-Gutierrez J et al, "Toxicity induced by multiple high doses of vitamin B 12 during pernicious anemia treatment: a case report." Clinical Toxicology, Feb

As clinical signs of cobalamin deficiency include chronic wasting or failure to thrive, malaise, and gastrointestinal signs such as diarrhea, serum cobalamin concentration should be measured in any dog with poor response to enzyme replacement therapy for EPI