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Sheep and cattle with low levels of selenium or at risk of clinical deficiency should be treated with a suitable long-acting therapy, such as Selovin LA from Elanco

Its about treating the full person, not just the diagnosis

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in this form it is essential for conversion of methylmalonate to succinate and synthesis of methionine from homocysteine (a reaction which also requires folate)

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Alternatively, you may need hydroxocobalamin injections twice a year