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Every cat who has chronic GI symptoms should have their cobalamin levels evaluated
Spinal conditions Disc injuries: Intervertebral discs contain fibrocartilage (annulus fibrosus) and proteoglycan-rich nucleus pulposus
What to Expect in Months 7-11 Essentially no side effects: Appetite suppression continues (desired effect), but GI symptoms gone Weight loss velocity slows: From 0.8kg/week (months 3-6) to 0.3-0.5kg/week Plateau around week 40-48: Weight stabilizes, no longer losing despite continued medication Total weight loss: Average 20-24% from baseline (matching or exceeding surgical outcomes) Focus shifts to maintenance: Accepting current weight, preventing regain Plateau frustration: Not a side effect but an emotional challenge 2 Final Strategies for Months 7-11 20
Rubber core in the solution If you see a small piece of rubber floating in the solution, it was likely cored from the vial stopper by the needle
Unlike most other vitamins in this group, it can be stored in the body for extended periods of time, primarily in the liver
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