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doi: 10.1055/s-0040-1718721 [PubMed] 33273175 Lee EQ

If I saw any difference with the rx I would continue until I figured out how to make the pain go away but it doesnt seem worth it for me

The choice between medications should rest primarily on efficacy data, tolerability, availability, and cost rather than the B12 inclusion, which is valuable in both formulations

The research has shown that some benefits of using Vitamin B12 as an adjunct treatment in dairy cows are: Increased cure rates of ketosis Increased milk production (especially in cows with low blood glucose) Increased rumination after LDA surgery The reasoning why B12 helps with low glucose cows is that these cows are likely suffering from fatty liver to some extent - which limits the livers ability to make energy