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Most people obtain B-12 from meat, eggs and dairy

Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider

Managing Concurrent Conditions (Triaditis): Since pancreatitis in cats is often linked with IBD and liver inflammation (cholangitis), managing these concurrent conditions is essential for controlling the pancreatitis

For those with a high out-of-pocket burden, we discuss dosing frequency adjustments to balance budget with effectiveness