A good place to find a vet that's qualified in goat health care is through the breeder who you bought your goat from
In the third stage of B12 deficiency, MMA and homocysteine will be elevated (having elevated levels of homocysteine is called hyperhomocysteinemia)

Before your appointment, prepare this information: - A complete list of every medication you currently take, including dose and frequency (prescription drugs, OTC medications, and supplements) - Any medications you have taken in the past 6 months and discontinued (some drugs have long half-lives or lasting receptor effects) - Your peptide goals ranked by priority (healing first, then anti-aging, then body composition, for example) - Any previous adverse reactions to medications or injections Questions to ask your provider: - "Based on my current medications, are there any peptide combinations I should avoid?" - "Which monitoring labs are needed specifically because of my medication list?" - "If I am on [specific medication], does that change the dosing or timing of any peptide in my protocol?" - "At what intervals should I check glucose/thyroid/liver markers given my specific combination?" How your provider uses interaction data: Your provider considers interactions at three levels

Accounts of Chemical Research
Numerous recent strategies using synthetic chemical compounds to target specific aspects of energy metabolism have been proposed and tested with mitigated success so far [8,9], prompting the search for new compelling alternatives