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Many unhealthy people with B12 deficiency, especially pernicious anemia patients, have trouble clearing our the cyanide

These effects were generally mild and transient

For patients with these conditions, a maintenance schedule of injections every one to three months is typical after getting their levels back up

As absorption is reduced, body stores become low and a deficiency occurs Underlying diseases most commonly include: IBD (inflammatory bowel disease) Intestinal cancer (especially small cell lymphoma) Liver disease Pancreatitis and other pancreatic diseases Symptoms of low B12 levels Typically found in middle-aged or older cats that present with: Weight loss Diarrhea Vomiting Anorexia Thickened intestines In humans, B12 deficiency may also be associated with dementia, cardiovascular disease, and a certain type of anemia, although these are not specifically recognized problems in cats

They ensure a steady supply of this important vitamin, aiding in preventing deficiencies that can lead to fatigue and other health issues