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The frequency depends on your health status, deficiency level, and health goals

For example, this study by Funk et al

Palpate the acromion (outer edge of the scapula) and trace an imaginary inverted triangle below the shoulder

Signs of cobalamin deficiency in dogs A dog with cobalamin deficiency may have one or more of the following symptoms: Lethargy Loss of appetite Change in eating habits Dull coat Loss of muscle mass Weight loss Weakness Diarrhea Loss of interest in playing Failure to thrive Mental dullness Seizures Cobalamin deficiency in dogs primarily occurs when there is a problem with cobalamin absorption