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There are also certain drugs and health conditions that can increase the likelihood of developing a B12 deficiency such as: alcohol abuse, antacid use, smoking, celiac disease, other digestive concerns, pregnancy, a strict vegetarian or vegan diet, and even natural aging

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Conversely, severe acne, irritability, fluid retention, or elevated blood pressure within the first 4 weeks may indicate overdosing, though these symptoms can also result from injection frequency rather than total dose

Once weve got your levels back up, youll shift to a maintenance dose

Consult with your veterinarian before using this product, to ensure it is safe for your cat with chronic renal failure and follow their guidelines for use