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[7] [9] This is why high-dose oral B12 is sometimes used as an alternative to injections in certain patients

Anaemic cats are lethargic, cold-intolerant, and have compromised oxygen delivery to tissues

A Multicenter Study of the Effects of Vitamin B12on Sleep-Waking Rhythm Disorders: In Shizuoka Prefecture

These symptoms may suggest inadequate B12 replacement, concurrent iron or folate deficiency, or alternative haematological conditions requiring investigation