Vitamin B12, also known as cobalamin, is an essential vitamin that plays a vital role in numerous bodily functions in dogs. It is crucial for the formation of amino acids, fatty acids, and new DNA during cell repair and regeneration. Additionally, B12 supports the nervous system by aiding myelin production and assists in the creation of healthy red blood cells. Given its involvement in almost every cell, a deficiency in Vitamin B12 can quickly lead to significant health problems.
Cobalamin cannot be synthesised by animals and is naturally produced by bacteria in the guts of ruminants like sheep and cows. Dogs obtain B12 through their diet—primarily by consuming meats such as beef or lamb from these animals. Within the gut, B12 undergoes both active and passive absorption: specialized transporters actively absorb around 99% of it using energy, while about 1% is absorbed passively by diffusion. Excess Vitamin B12 is stored in the liver, which can hold enough to last roughly three weeks. Surplus vitamin is excreted harmlessly in the urine as it is water-soluble.
There are three primary causes of low B12 levels in dogs:
Vitamin B12 affects many physiological processes, so signs can be varied and often non-specific. Common symptoms include:
If your dog exhibits any of these symptoms, particularly if it belongs to an at-risk breed or has had prolonged digestive upset, seek veterinary advice promptly. Vitamin B12 deficiency can be fatal if untreated.
Diagnosis is confirmed via blood tests measuring serum cobalamin levels. This test is sent to an external lab and results can take a few days. Because diagnosis can be delayed, veterinarians often begin supplementing B12 empirically when suspicion is strong as excess B12 poses minimal risk and is safely excreted if unnecessary.
Vitamin B12 supplementation methods include:
Subcutaneous injections of cyanocobalamin are the most efficient for raising blood levels rapidly. They bypass the gut entirely, which is crucial if absorption is impaired. Typically, the schedule involves weekly injections for four weeks, but this can vary depending on the dog's condition and response.
Surprisingly, oral B12 supplements can be effective even if absorption is compromised. This is because a small amount (about 1%) is absorbed passively via diffusion. High doses are given to increase intestinal concentration, allowing enough B12 absorption to meet the body's needs. Oral supplements are particularly helpful for long-term maintenance or when injections are difficult, such as with cats who dislike the injections.
Breeds predisposed to genetic malabsorption disorders—like Border Collies, Giant Schnauzers, and Beagles—often require lifelong B12 supplementation and regular monitoring. Early detection and treatment can prevent severe clinical signs and improve quality of life.
Prevention involves responsible feeding with balanced commercial diets formulated to meet all nutritional requirements. Avoid unbalanced homemade or vegan diets unless supervised by a veterinary nutritionist. Regular veterinary check-ups and prompt investigation into chronic digestive symptoms can also aid early detection. Maintaining gut health through appropriate nutrition and management reduces the risk of malabsorption issues.
When consulting your vet, consider asking:
Vitamin B12 deficiency is a manageable condition when caught early and treated appropriately. With veterinary partnership and careful feeding, affected dogs can regain their health and vitality.