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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

Dosing & Reconstitution Guide Educational guide for reconstitution and daily dosing Standard / Gradual Approach (3 mL = ~3.33 mg/mL total) Route: Subcutaneous (SC) | Frequency: Once daily Note: The 1:1 blend ratio means tesamorelin and ipamorelin are present in equal amounts per mL

Hence, more studies with human subjects are still required to reach a conclusive decision

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