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Description

According to NICE Clinical Knowledge Summaries, B12 supplementation for confirmed deficiency should follow established protocols, but routine monitoring of B12 levels after treatment initiation is not always necessary unless clinical response is inadequate

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In cats, vitamin B12 deficiency is seen most often with an inflammatory disease of the bowel

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Suspected neurological involvement due to B12 deficiency warrants urgent initiation of treatment and may require specialist referral

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A baseline IGF-1 already at or above the age-appropriate reference range is also a reason to hold: the goal is to support a declining axis, not push one that is already at the top of normal

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