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So if you have kidney issues, its not a good marker for B12 deficiency

Duodenal perforation has been reported in cats after carprofen ingestion, and gastric and duodenal perforation have been reported in dogs when carprofen exposure occurred along with corticosteroid use

If reactions first appeared or significantly worsened at a specific dose level, discuss the following options with your healthcare provider: extended time at the current dose before escalating further, smaller escalation increments , pre-injection antihistamine protocol, or exploring whether the therapeutic goals can be achieved at a lower dose

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