C10022953 / invoice 10000

Reason: B12 Blood TestBeen on cobalazorb for 3 monthsStopped 4 weeks agoBeen good with his gut, not perfect but generally formed poos. Very occasionally runny at the end. No vomiting. Appetite fine for him.  Nil meds, not on probiotics at the moment - gave it for 2 months. Examine: QAR nervousMm pink + moist crt 1s Abdo soft non painful gut sounds presentBcs 5/9Assessment: clinically well post b12 suppsPlan: bloods to lab to check B12Depending on results, O keen to keep him on supplementation long term as prevention.    Vital Signs    Weight: 16.37;       

Reason: AHC Vax + VaxHistory: Generally well, no concerns. Stools good quality now, not really any concerns/issues at this stage. Had a softer stool last week but otherwise well. Diet - tin tuna, chicken mince cooked, ziwi B12 supp started end November 2025Also giving protexin probiotic Prophy - simparica trio utd Examine: BARMM pink, refill <2sDG 0.5-1/4, moderate calculus canines & carnassials Eyes/ears/nose nsf PLNs wnl CV no murmurs/arrhythmias, ssfp Resp clearAbdo comfortable BCS good 4/9Assessment: fit for vaccProtech pi2 (5264018 exp 25/2/27) + lepto c2i (3291022 exp 9/7/16) given SQBronchoshield BB (5245046B exp 9/10/26) given PO Plan:Recc dental G1, est $800-1500 End of 12 weeks of B12 oral supp ending 12/2/26, will be due for recheck blood test 12/3/26 - can line up dental with this. Disc using chill pills prior to dental visit as is a bit nervous coming to the vets.    Vital Signs    Weight: 16.72;       

Reason: B12 ResultLaboratory:    Vitamin B12                      164   pmol/L        (99-503)Assessment: low B12 - supplementation indicated Depending on response to b12 supp then consider diet change Oral -Protocol: Daily administration for a total of 12 weeks and re-check the serum cobalamin concentration 4 weeks after stopping supplementation. The need for continued supplementation (and if so, the dose and frequency) can be reassessed at this time.Injections - Protocol: weekly injections for 6 weeks, then one dose a month later, and retesting one month after the last dose.Communication: --- 19/11/2025 12:50:20 TRS:STO adv above results and reccs. O elects oral for ease while O away. Texted O cobalazorb details, can get online or we can order in. --- 19/11/2025 12:55:21 TRS:Hi Joanna, the supplement product is "Protexin Cobalazorb Oral Vitamin B12 Dogs And Cats", please give ONE capsule once daily sprinkled on food. Continue treatment for 12 weeks total, then discontinue and revisit for blood test 4 weeks after finishing treatment. Let me know if any questions or issues. Kind regards, Dr Tarryn at Balmain Veterinary Hospital    Vital Signs