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Quick Answer: Vitamin B12 deficiency in cats often results from health issues that impair absorption, including inflammatory bowel disease, diabetes, hyperthyroidism, and kidney or liver disease

Consequently, I wouldn't recommend using expired ampoules (unless very recently out-of-date) I have been told by my pharmacy if the liquid is not opalescent but clear, there is nothing wrong with the ampoules and you can use them far after sell by date

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