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A result that does not fit the clinical picture should not be assumed to reflect true hypercobalaminemia, but it should not be assumed to be macro-B12 either

Source: The Effectiveness of Cobalamin (B12) Treatment for Autism Spectrum Disorder: A Systematic Review and Meta-Analysis (2021) Methyl B12 as a syrup showed promising improvements in individuals with autism, most likely because it improved oxidative status

It is critical to reiterate that long-term human safety data is non-existent

It is important to consult with your veterinarian before supplementing your dog, as some over-the-counter supplements may not be appropriate and can contain dangerous ingredients, such as xylitol which is poisonous for dogs