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Oral supplements are available, but most veterinarians prefer the injections, the thought being that they are more reliable since were dealing with cats who have demonstrated a compromised ability to absorb cobalamin through their GI tracts

This impairment of DNA synthesis affects the rapidly dividing cells of the bone marrow earlier than other cells, resulting in the production of large, immature, hemoglobin-poor red blood cells (macrocytosis), as well as effects on white blood cells, including abnormal (hypersegmented) neutrophils and reduced overall cell counts (pancytopenia)

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As we age, NAD+ levels drop, leading to fatigue, inflammation, and brain fog

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