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This is definitely a place to add to your monthly self-care routine

As such, there are many side effects associated with oral and injected steroid use

[6] The only notable exception is that biotin should not be used in anyone with a known hypersensitivity or allergy to biotin or any ingredients in the injection formulation (such as the diluent or preservatives), though such cases are exceedingly rare

In this case the dose for intramuscular injection is typically 100 to 1,000 mcg every day or alternate day, for one to two weeks

Intrinsic factor production declines with age and can be impaired by various factors

Your vet wants what is best for your dog and will weigh the potential risk of IMHA (or other adverse events) with the benefits of the care he or she is suggesting