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doi: 10.1016/j.braindev.2018.12.007 [PubMed] 30921018 VanHaerents S, Gerard EE

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GI conditions, such as chronic pancreatitis, exocrine pancreatic insufficiency, and inflammatory bowel disease, can result in a decreased ability to absorb B12 in the GI tract, leading to a deficiency despite the dog eating a balanced diet