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Vitamin B12 supplementation is available in several forms, including oral tablets, sublingual (dissolved under the tongue) preparations, nasal sprays, and intramuscular injections (commonly known as B12 shots)

The research has shown that some benefits of using Vitamin B12 as an adjunct treatment in dairy cows are: Increased cure rates of ketosis Increased milk production (especially in cows with low blood glucose) Increased rumination after LDA surgery The reasoning why B12 helps with low glucose cows is that these cows are likely suffering from fatty liver to some extent - which limits the livers ability to make energy

The mechanism of cobalamin action and its lab-guided use offer a reliable roadmap for B12 monitoring

Results are often seen prior to 12 weeks, but of course, lifestyle choices impact the speed of progress as do genetics and innate metabolism

If vitamin B12 deficiency is left untreated for a long time, a number of complications can occur, including cardiovascular disease

Am J Med 1989;88:141-4 Grindulis KA, Calverley M, Cox C