It primarily affects the gastrointestinal and nervous systems of cats, leading to a wide range of symptoms such as fever, weight loss, loss of appetite, and neurological abnormalities
Compounding is allowed only when the FDA-approved product is unavailable or when a patient has a specific medical need
When patients present with concerning symptoms whilst taking B12 supplements, alternative diagnoses should be considered, including allergic reactions to supplement excipients, interactions with other medications, or coincidental illness
Deficiency is widespread in the UK due to limited sunlight exposure, and is particularly prevalent in those with chronic illness, darker skin tones, or conditions affecting fat absorption
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