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This group of cats will likely prompt more immediate investigations, such as bloodwork to assess kidney and thyroid function, especially in an older cat, or imaging, such as X-rays and ultrasound, especially if your vet feels thickened intestines (thickening can be subtle and hard to judge) or an abdominal mass, to assess for inflammatory bowel disease or cancer

Figures Abstract 1-Methylxanthine (1-MX) is the major metabolite of caffeine and paraxanthine and might contribute to their activity

Lebwohl M, Quijije J, Gilliard J, Rollin T, Watts O

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