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Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3

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Therapy with bovine pancreatic enzyme extracts is not sufficient to restore cobalamin absorption in dogs with EPI, as intrinsic factor appears to be species-specific

Funding KS thankfully acknowledges DST-SERB CRG for providing financial support in the form of research projects (No: EMR/2017/002841 and No: CVD/2020/000604) and the Central University of Punjab for the Research Seed Money (CUPB/Acad./2022/1194, Dated 19.05.2022) to conduct the study