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So, Christmas will need to be a much lower-key version of the holiday this year

Neurological symptoms disrupt hormonal balance while signs of anemia limit oxygen delivery to reproductive tissues

This can happen as the result of a problem known as functional vitamin B12 deficiency, where there's a problem with the proteins that help transport vitamin B12 between cells
Metformin and Reduced Vitamin B12 Levels: Monitoring Advice

They can be improved if your cat receives adequate amounts of B12
