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While both can be used to aid in weight loss they are not the same

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Inflammatory Bowel Disease (IBD) : IBD is another common cause of vitamin B12 deficiency in dogs

The classic symptoms of B12 deficiency are persistent fatigue, tingling or numbness in the hands and feet, problems with memory and concentration, mouth ulcers, a sore red tongue, and pale or yellow-tinged skin

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The right option depends on the patients symptoms, goals, safety needs, and provider recommendation