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I also had iron deficiency anaemia at that time too which was corrected, and I also have non alcoholic liver disease so there could well be more than just B12 contributing here

Still, there are cases where B12 injections are the better bet

Vaccination schedules may vary depending on your horse's age, location, and specific health risks

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Because of this, lots of people have mild to moderate vitamin B12 deficiencies due to unbalanced diets or other factors