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Since the best sources are foods that are derived from animals, those who are vegan or on a plant-based diet may not consume enough vitamin B12

Research on TB-500 includes studies showing improved cardiac tissue repair following ischemic damage

For really bad cases, you might need more, and shots are given once a week, or as the doctor says

Any use should be discussed with a qualified healthcare professional who can evaluate the individuals health history, goals, current medications, and potential risks

How its given and how often is very important for treatment

Feeding Instructions Give orally, on food once daily or as directed by your veterinarian