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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
Obtain the structure (Figure 1A) and the identification number (342,538) of GHK from PubChem
We are happy to provide this service to interested patients who meet our qualifications and will send the injections to you so you can perform them conveniently at home.
The AAFP recommends injectable therapy when rapid improvement is needed for severe deficiency or serious neurologic involvement
