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Lets take a closer look at the signs of cobalamin deficiency in dogs: Poor Appetite: One of the first signs of low vitamin B12 levels in a dog is a decreased appetite

10.1186/s12944-020-01286-8 71 KomatsuM.KandaT.UraiH.KurokochiA.KitahamaR.ShigakiS.et al (2018)

This test measures the amount of MMA in your blood

Its very plausible that a doctors concern regarding potential B12 toxicity may arise from the fact that elevated levels of B12 often indicate a serious underlying condition

Learn More Tirzepatide 1 Month: $280 / 3 Months: $560 Supports appetite regulation and metabolic function

While spirulina offers other nutrients, it cannot support B12 levels and should not be used as a B12 source, especially for those who follow plant-based diets or are already deficient