Patients with pancreatic insufficiency may have reduced cobalamin absorption (because pancreatic enzymes normally assist with the displacement of salivary haptocorrin binding protein by intrinsic factor), although such patients rarely become cobalamin deficient
A reasonable minimum monitoring set includes resting blood pressure, resting 12-lead ECG (for QTc), and a lipid panel if the patient has additional cardiovascular risk factors
When you can't get deep, restorative rest despite trying everything, the DSIP delta sleep peptide may be worth exploring
Comparing results to others creates unrealistic expectations
Tirzepatide holds FDA approvals as Mounjaro for type 2 diabetes (2022) and as Zepbound for chronic weight management (2023) and for moderate-to-severe obstructive sleep apnea (2024), and it is EMA-approved as well
Quick Answer: Vitamin B12 deficiency in cats often results from health issues that impair absorption, including inflammatory bowel disease, diabetes, hyperthyroidism, and kidney or liver disease