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Iron River, WI 54847 (715) 372-5590 (715)372-5590 www.northlandvet.net Cobalamin (Vitamin B12) In animals with reduced cobalamin absorption, regardless of the cause, it is reasonable to expect that eventual depletion of cobalamin body stores will occur and cobalamin deficiency will ensue

This leads to a decrease in lethargy and fatigue and an increase in energy production

If you often drink alcohol or do intense exercise 24 hours before your treatment, this could possibly happen

Dosage reduction is therefore needed when co-administration with P-gp inhibitors such as ciclosporin, dronedarone, erythromycin, and ketoconazole (7)