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He was tested for ketones at the vets

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Organ meats, shellfish, and other animal foods are the best sources of bioavailable vitamin B12

However, with direct injection, if you do not need the additional B12, it may result in high levels in your blood that can cause side effects including gastrointestinal issues, headache and dizziness, tiredness and weakness, or skin irritation until the excess is flushed out via your kidneys and urine

But B12 supplements don't seem to have any effect on people already at normal levels