This chart may be useful as an overview: What Are The Symptoms of Vitamin B12 Deficiency
Studies suggest that an injection of Butaphosphan and Vitamin B12 on the day of calving and one day later can decrease the prevalence of subclinical ketosis during the week after calving in mature dairy cows
Other risk factors for B12 deficiency are stress, excessive alcohol use, and smoking
You can find a private doctor, wholl charge $50 to $250 per injection, or get an infusion clinic to drip the B12 intravenously for $100 to $500 per visit
Stopping treatment entirely (because B12, MMA or homocysteine values are back to standard) without the causes having been removed is not the correct way of treating a patient
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