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Your liver uses choline to produce phosphatidylcholine, which is required for assembling VLDL particles the lipoproteins that transport fat out of the liver and into the bloodstream for use by other tissues

Depending on the severity of the cobalamin deficiency and disease state, your veterinarian will either prescribe an oral supplement for daily usage or give an injection under the skin every one to two weeks

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For severe deficiencies, it can take even longer, since your vitamin stores are extremely depleted