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Its important to treat both to avoid worsening symptoms

A recent study has examined the effect of cobalamin supplementation on the outcomes of treatment for feline patients with severe cobalamin deficiency and histories suggesting chronic gastrointestinal disease.5 In this study, serum concentrations of methylmalonic acid normalized following parenteral cobalamin supplementation, indicating that cobalamin deficiency was the cause of the high methylmalonic acid in serum

Heinz, J., Kropf, S., Luley, C., and Dierkes, J

The most reliable and consistent way is with Botox injections

Improves Cognitive Function: Adequate B12 levels support brain function, helping with memory, focus, and mental clarity

Knee Pain Treatment April, 2021 Could a SynVisc injection help your knee feel better