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Your healthcare provider will determine the frequency of these tests based on your individual needs and response to treatment

Thirty minutes with a qualified clinician

On examination, she was afebrile, conscious, alert and oriented, noted to have pallor, bipedal oedema, hyperpigmentation over the tongue, bilateral hands and feet (Fig

Malabsorption (insufficient absorption of vitamin B12 in the intestine) due to insufficient production of intrinsic factor (a protein produced in the lining of the stomach that is needed to absorb vitamin B12), disorders in the end section of the ileum (part of the small intestine), such as sprue, fish tapeworm infestation or blind loop syndrome (change in the course of the intestine after gastric surgery)

The symptoms of vitamin B12 deficiency in dogs are non-specific

You walk between 6 and 8 hours daily, with altitudes ranging from 1,500 to 3,085 meters (4,921 to 10,121 ft)