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As absorption is reduced, body stores become low and a deficiency occurs Underlying diseases most commonly include: IBD (inflammatory bowel disease) Intestinal cancer (especially small cell lymphoma) Liver disease Pancreatitis and other pancreatic diseases Symptoms of low B12 levels Typically found in middle-aged or older cats that present with: Weight loss Diarrhea Vomiting Anorexia Thickened intestines In humans, B12 deficiency may also be associated with dementia, cardiovascular disease, and a certain type of anemia, although these are not specifically recognized problems in cats

Y., & Lee, M.-S

If its incredibly severe, you can have B12 injected

Garcia Weight Loss : Nov 1, 2018 12:00:00 AM Adequate levels of vitamins and nutrients are important for keeping all systems in your body functioning properly including functions related to weight and metabolism

Yang F, Wang Y, Nowakowski GS, Wang M , Chintakuntlawar AV, Halfdanarson TR, Pagliaro LC, Wei J, Liu B, Molina JR, Markovic S