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People can become deficient when they are not eating enough vitamin B12 rich foods, or their bodies may struggle with absorbing the vitamin

Data are lacking from long-term studies to assess whether oral treatment is effective when doses are administered less frequently than daily

So if there's an inflammatory bowel disease, if there is an intestinal cancer, then ideally we need to start treatment for that disease so that absorption can then resume and your cat's B12 levels can be maintained after we've supplemented them

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Supplementation with vitamin B12 decreases homocystein and methylmalonic acid but also serum folate in patients with end stage renal disease

However, its essential to regularly check in with a healthcare provider to ensure that the treatment remains appropriate and beneficial