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At Sky Health, OTC oral B12 ($5-15/month) is recommended for maintenance, while prescriptions for injections/nasal sprays ($10-50/month) ensure 90-95% bioavailability for deficiencies, with quarterly monitoring

Although PCACs recommendations are not binding, they generally have informed FDAs ultimate determinations

Animals that are largely herbivorous but still classify as non-ruminants rely on another method of getting sufficient vitamin B12 that they cannot get from their plant-centric diet, which is coprophagia or eating their own poop

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