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New or worsening tingling, numbness, difficulty with balance or coordination, muscle weakness, or cognitive changes should prompt same-day clinical assessment

If a goat unexpectedly collapses or goes into shock after an injection, administer epinephrine immediately

Consistent appointments are recommended to maintain optimal results

In fact in the US the Centers for Disease Control (CDC) and the Institute of Medicine recommend B12 supplements for everyone over 50 years old