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Keywords: alternative route, cobalamin deficiency, methylmalonic acid, small intestinal disease Abbreviations BCS body condition score CE chronic enteropathy cPLI canine pancreatic lipase immunoreactivity cTLI canine trypsin like immunoreactivity EPI exocrine pancreatic insufficiency GI Lab gastrointestinal laboratory IF intrinsic factor MMA methylmalonic acid PERT pancreatic enzyme replacement therapy RI reference interval TVMDL Texas A&M Veterinary Medical Diagnostic Laboratory 1

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