Category Archives: dog care

Is your home suitable for an aging dog?

In Christchurch, where I live and practice, we’re known for our flat landscape in most parts of the city and suburbs. However, we do have some hilly suburbs which are considered prime real estate for those wanting a view and a different level of privacy.

With those hilly sections come challenges.

Homes in these areas tend to require stairs or steep drives and a walk in the neighbourhood demands hill-walking; much different to the single story traditional housing on the flats. That said, new infill developments are building upwards. Usually, these take the form of multi-unit dwellings that are two or three stories high. All have staircases, most are steep to make the most of the available space.

As a mobile practitioner, I work with dogs in a range of settings. One fact that is universal, however, is that an aging dog is more likely to slip on floors and to have difficulty walking up/down stairs and hills. A dog of any age that has an injury is also going to have the same problems.

Owners of smaller breeds can carry them; for larger breeds, this is not an option.

So, if you are relocating to a new home, please think of your dog before signing on the dotted line. Your dog will age must faster than you do. A bit of planning can help you make a good choice so your dog can enjoy your home and neighbourhood for the rest of their life.

P.S. Not every family has the capacity to build a stair lift like Eddie’s family did. (RIP, Eddie)

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand

Histiocytoma

I don’t mess around when it comes to new lumps and bumps. This small lump in the center of Sox’s head appeared in late August. After about one week, we made a trip to the vet for an exam and skin scraping.

It’s a benign histiocytoma, thankfully. This is an abnormal growth of histiocytes which are a cell that is part of the immune system. It should ‘self-resolve’ in 2-3 months; the head is a common location for this type of growth. It looks like a single, red, raised lump and it can be itchy which is why it has bled a couple of times.

To avoid infection, I have been treating it with colloidal silver. Avoiding secondary infection is particularly important for Sox because his inflammatory bowel disease is easily upset with antibiotics, which kill off the good gut bacteria.

No one, including a vet, can diagnose a lump with the naked eye. Sox’s lump could have been something more sinister such as a mast cell tumour. Keep a watch for lumps and bumps and get them checked out!

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand

New formula

In my post Reading Labels, I shared the notification label from our bag of Purina Pro Plan Gastrointestinal dog food. The food we have relied on for over two years is changing!

The reply from Purina says: “Ensuring the safety and quality of our pet food remains our top priority. While the product is now manufactured in Thailand instead of Europe, the benefits of this diet remain unchanged. With a new manufacturing location, there will be new sourcing for raw ingredients and slight recipe variations. Please be assured the new formula continues to deliver the same efficacy and benefits. We recommend a gradual transition to the new formula to support digestive tolerance. If you have concerns, please consult your vet for tailored advice.

Let’s compare ingredients…

ORIGINAL FORMULA

Rice, Corn, Pea protein, dried poultry protein, dried beet pulp, digest, soya protein, coconut oil, minerals, pork fat, monoglycerides, soya oil, fish oil; with nutritional additives Vit A, Vit D3, Vit E, Iron (II) sulphate monohydrate, calcium iodate anhydrous, copper (11) sulphate pentahydrate, manganese sulfphate monohydrate, zinc sulphate monohydrate, sodium selenite, antioxidants

NEW FORMULA

Brewers rice, whole grain corn, chicken meal, corn protein, chicken digest, minerals, vitamins, amino acids (Including calcium, phosphorus, sodium, chloride, potassium, magnesium, zinc, iron, manganese, copper, selenium, iodine, vitamin A, vitamin B1, vitamin B2, pantothenic acid, biotin, vitamin B6, vitamin B12, niacin, folic acid, vitamin C, vitamin D, vitamin E, choline, L-lysine, L-threonine, L-tryptophan) poultry oil, botanical oil (1%) (source of MCT) fish oil, glyceryl monosterate, prebiotic fibre (0.5%) (source of inulin) colostrum

I will follow my own advice to clients and transition to this food over a minimum of 10 days (and I’m planning longer than that). As a pet parent, however, I’m holding my breath that this new formula doesn’t upset Sox’s inflammatory bowel disease. Time will tell.

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand

Doggy quote of the month for July

“To date, there are no specific disease modifying anti-osteoarthritic treatments. Current management of patients with osteoarthritis aims to improve patient and societal outcomes by reducing symptoms and improving function. Clinical guidelines broadly recommend the provision of effective and individualised information, combined with non-pharmacological and pharmacological interventions, and when these are insufficient, surgery.”

Kloppenburg M., et al. “Osteoarthritis” Lancet 2025

Jake is the perfect example of the multimodal approach to arthritis management

Reading labels

As you’ve probably read in this blog before, I’m a self-confessed Science Geek. I like the details. So, it should come as no surprise that label reading is part of my routine as a dedicated Dog Mum and pet professional.

This week has provided some good food for thought – the importance of reading labels.

First up is Sox’s Vitamin B supplement, Cobalazorb. When the latest box arrived, it was immediately noticeable that the packaging had changed:

There were differences that could be alarming for us. I have been managing Sox’s inflammatory bowel disease for years now and this supplement is vital since his malfunctioning gut does not digest all the goodness from food as it should. I emailed the company, ADM Australia PTY Ltd.

I have just received a new pack of Cobalazorb for my dog, who has chronic enteropathy.  This pack prominently promotes that the product has a chicken flavour and also does not state that the capsule is a vegetable capsule – only “capsule.”

I’ve compared it to the previous pack, which states a flavouring but with no specific type and a vegetable capsule.

Given his sensitivities, I wanted to check that there have been no ingredient changes to the original product and that this is a change in packaging only. 

Great news! The company responded the same day with this reply:

Thanks for reaching out.

I can confirm that only the packaging has changed for Cobalazorb, everything else remains the same as before. The flavouring is still artificial chicken (no actual chicken) and the capsules are vegetarian, so OK to use in dogs and cats with allergies and sensitivities.

Please reach out should you have any further questions.

At this point, I was winning. That was until the delivery the next day of our latest 12 kg bag of Purina Pro Plan Gastrointestinal kibble, our mainstay dog food. Only this time, the bag came with a prominent label announcing “Coming Soon, New Look and Formula.”

New formula…and when you turn over that label there’s a reminder that new foods should be transitioned over 10 days.

I emailed Purina to ask what the formula changes will be, explaining that I am using this food for Sox’s chronic enteropathy (IBD). It took them 2 days to reply, “We have reached out to our wider team regarding your questions about the formula changes and we’ll get back in touch with you as soon as possible.

This reply doesn’t fill me with great confidence and history shows that whenever pet food companies change formulations, it is usually so they can reduce the cost of ingredients while improving profit margin. Decreasing cost of production often means decreasing the quality of the ingredients. Dog food is a big business.

Time will tell if I am going to need to find another food for Sox, and how long I will wait for a definitive reply from Purina.

I encourage all my clients to read labels – you’d be surprised how often products formulations are changed – a change in packaging is often a good reason to check the label.

P.S. A big shout out of thanks to ADM for such fabulous customer service (plus for not changing the formula of a valued supplement)

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand

Top toxin list from the ASPCA

The ASPCA Poison Control Center has released its Top 10 list for reports of poisoning in pets during 2024. This list is a good guide for pet parents on safety.

The top items that are ingested are over-the-counter medications and supplements. Be careful when taking these items to ensure that any pills which are dropped on the floor are picked up immediately and that bottles are stored away from a dog’s reach.

Not all human foods are suitable for our dogs – notably things like grapes and raisins, xylitol-containing sweets and peanut butters are good examples. Be careful in the kitchen and pick up spills immediately. In my practice, I have seen a rise in incidents involving peanut butter that contains xylitol. It’s really important to read the label before giving your dog peanut butter and, if you share food, you must remember that not everyone bakes with xylitol-free peanut butter!

Chocolate is a well-known risk and ingestions of chocolate often occur over holidays like Christmas and Easter and during other family celebrations like birthdays. Your dog will follow its nose – so chocolates should not be kept in bags and jacket pockets.

Try to be gentle on the Earth and opt for more natural options instead of chemical pesticides; this will limit exposure risk in pets. And if using rodenticides, follow the instructions and use bait inside approved traps.

Let’s hope all my readers have a 2025 without incidents of poisoning!

Source: ASPCA

Prebiotic or Probiotic?

There is a growing awareness of the link between overall health and a healthy gut. If gut health is poor, your dog will not thrive. Whilst diet is the first port of call for good health, dog owners are also seeking to augment diet with the ”right” additions to food.

Prebiotics and probiotics offer support for gut health, but I find that dog owners can often confuse the two terms.

A healthy gastrointestinal tract contains an abundance of beneficial bacteria that help digest food into nutrients which the body then absorbs. These bacteria are probiotics; the most common strains are the Lactobacillis and Bifidobacterium families of bacteria. Probiotics are available in supplement form – too many brands to mention in this column!

Prebiotics are fermentable fibres that support the growth of the good bacteria. When the fibre reaches the large intestine, the bacteria are able to ferment certain types of fibre which result in short-chain fatty acids. These fatty acids support and protect the intestinal lining, help reduce inflammation and prevent the overgrowth of unwanted bacteria. Examples of prebiotics are beet pulp which is an ingredient in many commercial foods and psyllium husk.

Psyllium husk is my prebiotic of choice for managing Sox’s inflammatory bowel disease

A healthy bowel is able to absorb more nutritional value from food.

When should you consider the addition of prebiotics and probiotics? Conditions that respond well include:

  • Inflammatory bowel disease
  • Stress-related diarrhoea
  • Antibiotic-associated diarrhoea
  • Dietary intolerances

When the intestinal tract is working well, faecal odours are less and stool consistency improves. You will notice the difference when picking up after your dog – particularly if you have been managing soft stools and diarrhoea for extended periods of time.

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand

The benefits and importance of fostering

I have been giving a lot of thought lately to the issue of fostering.

This time last year, Sox and I were fostering blind greyhound, Fred, who was adopted in mid-February and has settled well into a loving forever home. New Zealand has always had a homeless pet population – you don’t have to look far to find an adoption group (or two, three, or more) that operate in your area. And now, with a greyhound racing ban confirmed, our country has the responsibility to re-home the 2,900 hounds that the industry says it has it in its possession.

Fostering is the gift of life for dogs needing homes; it also has many benefits for the foster carer and the adoption agency.

Benefits of fostering

  • Fostering frees up space in shelters/kennels for another dog in need
  • For the fostered dog, it gives them a chance to de-compress (kennels keep dogs safe and fed, but they can also be noisy and negatively reinforcing – think of having roommates that you really wish would leave!)
  • For some dogs, they simply can’t cope in a shelter or kennel environment and these special dogs need to be cared for in a home before they are damaged from long-term kenneling
  • A fostered dog benefits from one-on-one attention and, if the foster carer/family own a dog (and/or other pets), then the fostered dog has the opportunity to learn the ‘house rules’ and how to interact with other companion animals
  • Fostered dogs often need to learn skills such as toilet training, walking on lead, and basic skills like wait, leave, and down (depending on the skills of the foster carer and the dog, of course) – a dog with life skills is less likely to have a failed adoption (returned to the adoption group)
  • Re-homing and adoption groups benefit from feedback from their foster carers; they learn about a dog’s likes and dislikes, behaviour, and areas for training – all of which enable them to give clearer information and support to adopters and to make a good and lasting match
  • Re-homing and adoption groups also benefit from the enthusiasm of their foster carers, who can help publicise the adoption group simply by taking the dog out for walks, promoting the dogs on their social media, and acting generally as a partner for the re-homing effort
  • An experienced foster carer is worth their weight in gold for the adoption groups they work with; some carers offer specialised skills that adoption groups often cannot afford to access on a commercial basis
  • For carers, fostering gives you the joy of companionship without necessarily the commitment of full-time ownership
  • There is huge satisfaction to be gained from giving a dog a second chance; the emotional reward is hard to describe

Setting expectations and standards

To be successful, fostering works best when the adoption agency and the foster carer are clear about expectations and standards. If the adoption agency isn’t clear about boundaries, it’s hard for the foster carer to know what a good job in fostering looks like.

Questions to ask if you are interested in fostering

Ask yourself why you want to foster – and be honest.

Most people I meet have the best of intentions to foster but can be emotionally unprepared for the experience. A foster dog is not your pet; some attachment to your foster dog is expected – it’s easy to bond with a dog in your care as you learn their personality. Some positive self-talk is a good idea – remind yourself that at some point you will need to farewell the dog, knowing that you gave them a head start for pet life.

What type of dog are you qualified to handle?

If you have breed-specific experience, it’s best to consider offering your skills to a breed-specific rescue group.

In more general terms, most previous dog owners will have experience with adult dogs; puppies are typically fostered only by those with puppy experience (and the availability to monitor them more closely throughout the day). If a dog has special needs such as behaviour issues or mobility or other physical impairments, then they will ideally need a special foster carer with some experience in these areas.

What support can you expect as a foster carer?

Most adoption groups will supply the basics for their foster carers: dog food, leash, collar, crate and bed.

Ask what process to follow if the dog is unwell and needs veterinary care, for example.

If you are experiencing behaviour problems and want to talk through training, what assistance is available? Some adoption groups have a dedicated person who will follow up with foster carers just to see how things are going – if this isn’t possible in your area, is there someone else you can bounce ideas off of?

All adoption agencies should be prepared to give you background on your foster dog. Some agencies will, of course, have very little information on the dogs that come into care. Others will have more information.

Foster agreements should be in writing

Agreements with a foster carer should be in writing and set out the responsibilities of each party; every adoption group should act as a business in this regard.

If foster carers are expected to be available for certain weekend adoption events, for example, then these should be clarified in the agreement.

Foster carers should be dealt with respect and, even if they are not being paid for their services, their in-kind time and efforts should be recognised as if the person was an employee. There should be no bullying, harassment or discrimination and the foster carer should have an avenue outlined in the agreement if a problem requires escalation. If the adoption agency has concerns about a foster carer’s competence or performance, then the agreement should outline how such situations will be handled.

What if you can’t manage it (for whatever reason)?

Life can throw us curve balls. Your situation may change. Perhaps the dog is higher needs than you anticipated and you are not coping; perhaps you are ill; perhaps there’s a family emergency. If you can’t manage to see your foster commitment through, then the foster agreement should outline the process to follow to return your foster dog. Depending on the circumstances, you should de-brief with your adoption agency, particularly if you’d like to foster again in the future.

Make a lifetime commitment only when it is right for you both

It’s natural to form a bond with your foster dog; affection for the dog is normal. After all, you are caring for a sentient creature who needs your help and who is living in your home…

While some dogs end up as ‘foster failures’, you must be sure that you can make the lifetime commitment to your foster dog if you are considering adopting them. Can you afford their care? Do you permanently have the time and space to give the dog its best pet life?

Note: If your intention is to add a dog to your home, ask your adoption agency about a ‘foster to adopt’ arrangement which means that you are providing foster care for the purpose of taking the dog on trial.

Fostering a dog in need can be one of the most rewarding experiences of your life.

If you are interested in fostering, please contact your local adoption groups for information on their needs – most will publish information on their website to get you started.

Kathleen Crisley, is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand.

Field Cooling Methods for Working Dogs

Message from DoggyMom: Summer has arrived in New Zealand and, with it, the risk of overheating in our dogs. I’m sharing this post because it covers the various cooling methods we can use with our dogs. I’m particularly interested in training for the voluntary head dunk!


Heat injury is a serious risk for working and sporting dogs. High environmental temperatures plus heat generated through exercise can overheat these dogs. A dog’s core body temperature can easily reach over 105 degrees Fahrenheit during exertion. However, heat injury typically occurs only when physical activity continues and/or the dog’s ability to dissipate heat becomes compromised.


Definitions
Hyperthermia: increased core body temperature.
Heat stress: the initial pathologic response to increased core body temperature.
Heat injury: a sustained increase in core body temperature resulting in changes in physiologic function and mild to moderate organ damage.
Heat stroke: heat injury with neurologic signs and organ damage.


The American College of Veterinary Emergency and Critical Care (ACVECC) recommends the strategy of ‘cool first, transport second.’ Handlers should immediately begin cooling a dog showing signs of heat stress and then transport to a veterinary facility. Current effective cooling methods include:

  • Providing rest and shade
  • Immersion in cool water or wetting the dog’s skin and using a fan to increase air circulation around the dog
  • Wetting the paw pads with isopropyl alcohol
  • Placing ice packs in the armpits and groin


There have been few scientific studies to compare these various cooling methods and confirm the best approach for cooling dogs with exertional hyperthermia. One must also recognize that access to water may be limited in working environments, eliminating the option of full-body water immersion for over-heated dogs. To find answers and improve outcomes for at-risk dogs, the AKC Canine Health Foundation (CHF) awarded funding for a pilot study conducted at the Penn Vet Working Dog Center. Investigators compared four different cooling methods to assess their effect on core body temperature after exercise in working dogs.

Study Methods
The cooling strategies examined were:

1)      Ice packs around the dog’s neck
2)      A water-soaked towel around the dog’s neck
3)      A water-soaked towel in the dog’s armpits (axillae)
4)      A voluntary head dunk into tepid water (70 degrees Fahrenheit)


Participating dogs were exercised by doing warm-ups and recalls until their core body temperature reached over 105 degrees Fahrenheit or until they showed two or more signs of heat stress. They participated in one of the cooling strategies for 30 seconds and were monitored for 40 minutes. Over four weeks, each dog participated in all four cooling methods. (Water immersion and other cooling methods were used for any dog whose core body temperature exceeded 107 degrees Fahrenheit or whose core body temperature remained over 103 degrees Fahrenheit after 40 minutes.)

Study Results
All four cooling protocols successfully returned the dogs’ core body temperature to baseline after 40 minutes. However, only the voluntary head dunk behavior lowered core body temperature in the first 30 seconds and created a lower body temperature during the rapid cooling period in the first 5 minutes after intervention (See Figure 2 from Parnes et al). 

Figure 2 from Parnes, S. C., Mallikarjun, A., Ramos, M. T., Capparell, T. R., & Otto, C. M. (2024). Voluntary head dunking after exercise-induced hyperthermia rapidly reduces core body temperature in dogs. Journal of the American Veterinary Medical Association (published online ahead of print 2024).


Investigators suggest several physiologic factors that may explain the superior results following a voluntary head dunk in cool water. When a dog experiences heat stress, blood vessels dilate in the muzzle, ears, and limbs, increasing blood flow to these peripheral areas where heat can dissipate through convection and radiation. The skin on a dog’s head is also relatively thin compared to other parts of the body, allowing for more rapid heat exchange from this region. Finally, blood in the nasal cavity is cooled by airflow before it travels to the brain, providing yet another way of protecting the brain from heat injury. For all of these reasons, cooling methods that target a dog’s head and neck may be most effective at reducing the core body temperature and preventing heat injury.

Teaching the Voluntary Head Dunk
To use the voluntary head dunk method in the field, dogs must first be trained to retrieve a toy or piece of food from the bottom of a bucket of water.

Click here for a voluntary head dunk training demonstration.


It is important to note that this cooling method can only be used for dogs with a normal mental status who are willing to participate and can stop panting long enough to dunk their head. If any dog is not mentally appropriate, emergency cooling measures and rapid transport to a veterinary facility are required.

This study provides critical and actionable insights into the best methods to cool a dog with exercise-induced hyperthermia in the field. Future studies can review additional cooling strategies helpful to canine handlers such as the effect of pouring water over a dog’s head, adding a fan to improve airflow, and the effect of intermittent cooling activities during work. CHF and its donors will continue to support valuable health research like this study and provide evidence-based recommendations to safeguard the health of all dogs. Learn more about this work at www.akcchf.org.

Source: American Kennel Club Canine Health Foundation

Vitamin B12 (cobalamin) supplementation – good news for IBD dogs

Dogs with inflammatory bowel disease (technical name, chronic enteropathy) often exhibit a deficiency in Vitamin B12. The treatment for this has typically been parenteral (injections) of cobalamin. These injections are painful and I can speak from personal experience with my greyhound, Sox, that subjecting the dog to painful injections is a good way of making them fearful of vet visits. So, it is nice to see that there has been a study about whether oral supplementation can be just as effective as the injectable form. (Spoiler alert: it is)

IBD can often be a challenging condition to manage: finding foods that the dog tolerates and managing other stressors can be easier said than done. Every dog is different, so what works for one may not for another. If you are located in New Zealand, I have started a Canine IBD support group. We originally met in video calls but I have now placed the group on Facebook. This group discusses products and services that you can access in NZ; many online support groups mention products that are not available here.

Kathleen Crisley is Fear-Free certified dog massage therapist and canine fitness trainer. She has a particular passion for working with dogs and their families to ensure injury prevention and quality of life. She specialises in working with anxious and emotionally damaged dogs. Her mobile practice, The Balanced Dog, is based in Christchurch, New Zealand


The Research …

Cobalamin (ie, vitamin B12) is an important intracellular cofactor. Hypocobalaminemia can result in cellular cobalamin deficiency that leads to increased methylmalonic acid (MMA) concentrations, is identified in 19% to 38% of dogs with chronic enteropathy (CE), and warrants cobalamin supplementation.1-3 Parenteral administration of cyanocobalamin has been the main method of supplementation; however, recent studies have shown similar efficacy of oral and parenteral supplementation for achieving normal serum cobalamin and/or MMA concentrations.4-6

This prospective studya was designed to evaluate tolerance and efficacy of oral versus parenteral cyanocobalamin supplementation for normalizing serum cobalamin concentrations in client-owned hypocobalaminemic (<250 pg/mL; reference interval, 240-590 pg/mL) dogs with clinical signs of CE, including subgroups of dogs with protein-losing enteropathy, severe CE (based on canine inflammatory bowel disease activity index [CIBDAI] scores >9), or moderate to severe hypocobalaminemia (<200 pg/mL). Dogs (n = 37) at 3 referral centers were randomly assigned to receive oral (capsules every 24 hours for 12 weeks) or parenteral (SC injections weekly for 6 weeks with 1 additional injection 4 weeks later) cobalamin. Serum cobalamin and CIBDAI scores were assessed at inclusion, week 7, and week 13. Serum MMA concentration was measured at inclusion and week 13. Owners completed a questionnaire on treatment adherence, palatability (oral supplementation group only), tolerance, and satisfaction at week 13.

Nineteen dogs (11/18 in the oral treatment group and 8/19 in the parenteral treatment group) completed the study. All dogs in the oral treatment group and 7 dogs in the parenteral treatment group had normalized or increased serum cobalamin concentrations at weeks 7 and 13. No significant difference in serum cobalamin concentration between treatment groups was identified at week 13, regardless of presence of protein-losing enteropathy, severity of hypocobalaminemia, and CIBDAI score at inclusion. In addition, no significant differences in serum MMA concentrations, treatment adherence, satisfaction, or tolerance scores were identified between treatment groups at week 13.

… The Takeaways

Key pearls to put into practice:

  • Hypocobalaminemia is often identified in dogs with CE. Measuring serum cobalamin concentration is an important diagnostic step in dogs with chronic clinical signs of GI disease.
  • Oral cyanocobalamin supplementation is well tolerated and effective for normalizing serum cobalamin concentrations in most dogs with hypocobalaminemia secondary to CE—regardless of clinical disease status or severity of hypocobalaminemia (including serum cobalamin concentrations below the lower limit of the reference interval)—and can be considered as a treatment option.
  • Re-evaluation of serum cobalamin concentration is recommended 4 weeks after supplementation is completed because some dogs may not respond to oral or parenteral cobalamin.

a This study was partially funded by ADM Protexin.

Journal reference: Dor C, Nixon S, Schmitz SS, et al. Efficacy and tolerance of oral versus parenteral cyanocobalamin supplement in hypocobalaminaemic dogs with chronic enteropathy: a controlled randomised open-label trial. J Small Anim Pract. 2024;65(5):317-328. doi:10.1111/jsap.13705

Source: Clinician’s Brief