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During this initial phase, its important to monitor for any adverse reactions and assess individual tolerance

Appointments are required as part of social distancing protocols

Repeating the blood test can help differentiate between a temporary spike (for example, after an injection) and a persistent elevation
For individuals without absorption issues, Lifeline Primary Care usually suggests oral B12 supplements or sublingual preparations

Vitamin B12 does require the initial loading dose period, especially in very deficient cats, so improvements will not be immediate