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To get a clearer picture of your true B12 status (meaning whether B12 is getting to its needed places and if you have enough of it), testing B12 levels in the spinal fluid would be most accurate

[8] Any deviations from prescriber instructions should be discussed with the supervising clinician

Other than liver disease, dogs who may benefit from liver supplements include: Dogs who are being fed a homemade diet Dogs with digestive issues Dogs who have recently been on certain medications or regularly take medication Senior dogs Liver supplements can be an extraordinarily helpful tool for maintaining liver health in some dogs, but they arent necessary for all dogs

It reduces appetite, helps control cravings, and increases calorie burn by modulating neurotransmitters in the brain