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Cats with gastrointestinal diseases (like IBD, pancreatitis, or chronic diarrhea) very commonly develop cobalamin deficiency because they cannot absorb B12 properly from their inflamed intestines

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It is also essential for DNA synthesis

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"The most common of those would be nausea and vomiting and some facial flushing." The TGA says users could also see a change in the size and pigmentation of existing moles, and an increase in new ones