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I had this extreme tiredness when I first started B12 injections

(2018) may help to identify who is most at risk

In fact, many veterinarians will give cats who have chronic GI symptoms a shot of cobalamin at the beginning of therapy, before the results of cobalamin testing are in and a definitive diagnosis has been made, because it is so safe and might make the cat feel better faster

doi: 10.1186/s13568-025-01824-6 113 FanX.ChenL.ChenM.ZhangN.ChangH.HeM.et al

Safety and efficacy of AMG 714 in patients with type 2 refractory coeliac disease: a phase 2a, randomised, double-blind, placebo-controlled, parallel-group study