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Ans: Lethargy, poor appetite, weight loss, a dull coat, skin issues, and anemia can all point toward low B12 levels in pets

Here is what they found: Local glucocorticoid injections are often used to treat joint, soft tissue, or spinal pain, but the systemic side effects associated with these injections are poorly understood and not well recognized

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Non-iatrogenic causes include idiopathic Bell paralysis (53 cases, 38%), Ramsay Hunt syndrome (15 cases, 10%), and post-traumatic cases (7 cases, 5%)