PMID- 30606444 OWN - NLM STAT- MEDLINE DCOM- 20190114 LR - 20190114 IS - 1532-2971 (Electronic) IS - 1090-0233 (Linking) VI - 243 DP - 2019 Jan TI - Effects of oral versus parenteral cobalamin supplementation on methylmalonic acid and homocysteine concentrations in dogs with chronic enteropathies and low cobalamin concentrations. PG - 8-14 LID - S1090-0233(18)30165-5 [pii] LID - 10.1016/j.tvjl.2018.11.004 [doi] AB - The objective of this study was to compare the effects of parenteral (PE) versus oral (PO) cobalamin supplementation on serum methylmalonic acid (MMA) and homocysteine (HCY) concentrations in dogs with hypocobalaminaemia. Thirty-six dogs with serum cobalamin concentrations below 285ng/L (reference interval (RI): 244-959ng/L) were treated with PO (0.25-1.0mg daily) or PE cobalamin (0.25-1.2mg/injection) using a block-randomized schedule. Serum MMA and HCY concentrations were analysed at day 0, 28 and 90 after start of supplementation. There was no significant difference between the PO and PE group regarding serum MMA or HCY concentrations at any time point. Median (range, P comparing baseline and 28 days, P comparing 28days and 90 days) serum MMA concentrations (nmol/L; RI 415-1193) were 932 (566-2468) in the PO and 943 (508-1900) in the PE group at baseline, respectively, 705 (386-1465, P<0.0001) and 696 (377-932, P<0.0001) after 28 days, and 739 (450-1221, P=0.58) and 690 (349-1145, P=0.76) after 90 days. Serum HCY concentrations (median (range), P comparing baseline and 28 days, P comparing 28days and 90 days, mumol/L; RI 5.9-31.9) in the PO and PE groups were 12.2 (3.3-62.2) and 8.4 (3.7-34.8) at baseline, 12.5 (5.0-45.0, P=0.61) and 8.0 (3.8-18.3, P=0.28) after 28 days, and 17.7 (7.3-60.0 P=0.07) and 12.4 (6.3-33.1, P=0.0007) after 90 days, respectively. Oral and parenteral cobalamin supplementation had the same effect on serum MMA concentrations in this group of dogs. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Toresson, L AU - Toresson L AD - Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, Helsinki University, Agnes Sjobergin katu 2, 00014 Helsinki, Finland; Evidensia Specialist Animal Hospital, Bergavagen 3, 25466 Helsingborg, Sweden. Electronic address: linda.toresson@evidensia.se. FAU - Steiner, J M AU - Steiner JM AD - Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843-4474, USA. FAU - Spodsberg, E AU - Spodsberg E AD - Evidensia Specialist Animal Hospital, Bergavagen 3, 25466 Helsingborg, Sweden. FAU - Olmedal, G AU - Olmedal G AD - Evidensia Specialist Animal Hospital, Bergavagen 3, 25466 Helsingborg, Sweden. FAU - Suchodolski, J S AU - Suchodolski JS AD - Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843-4474, USA. FAU - Lidbury, J A AU - Lidbury JA AD - Gastrointestinal Laboratory, Department of Small Animal Clinical Sciences, Texas A&M University, 4474 TAMU, College Station, TX 77843-4474, USA. FAU - Spillmann, T AU - Spillmann T AD - Department of Equine and Small Animal Medicine, Faculty of Veterinary Medicine, Helsinki University, Agnes Sjobergin katu 2, 00014 Helsinki, Finland. LA - eng PT - Clinical Trial, Veterinary PT - Comparative Study PT - Journal Article DEP - 20181112 PL - England TA - Vet J JT - Veterinary journal (London, England : 1997) JID - 9706281 RN - 0LVT1QZ0BA (Homocysteine) RN - 8LL8S712J7 (Methylmalonic Acid) RN - P6YC3EG204 (Vitamin B 12) SB - IM MH - *Administration, Oral MH - Animals MH - Dietary Supplements/analysis MH - Dog Diseases/*drug therapy/etiology MH - Dogs MH - Female MH - Homocysteine/*blood MH - Infusions, Parenteral/*veterinary MH - Intestinal Diseases/complications/veterinary MH - Male MH - Methylmalonic Acid/*blood MH - Prospective Studies MH - Random Allocation MH - Vitamin B 12/*administration & dosage MH - Vitamin B 12 Deficiency/drug therapy/etiology/*veterinary OTO - NOTNLM OT - Chronic enteropathy OT - Dog OT - Inflammatory bowel disease OT - Oral supplementation OT - Vitamin B12 EDAT- 2019/01/05 06:00 MHDA- 2019/01/15 06:00 CRDT- 2019/01/05 06:00 PHST- 2018/05/15 00:00 [received] PHST- 2018/11/05 00:00 [revised] PHST- 2018/11/07 00:00 [accepted] PHST- 2019/01/05 06:00 [entrez] PHST- 2019/01/05 06:00 [pubmed] PHST- 2019/01/15 06:00 [medline] AID - S1090-0233(18)30165-5 [pii] AID - 10.1016/j.tvjl.2018.11.004 [doi] PST - ppublish SO - Vet J. 2019 Jan;243:8-14. doi: 10.1016/j.tvjl.2018.11.004. Epub 2018 Nov 12.