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Although reduced cobalamin has been recorded in cats with cardiovascular disease, it is unclear whether it is a predisposing and causative factor or a consequence of the heart disease [81]

Pharmacokinetic characterization in porcine models demonstrated an intravenous half-life of approximately 3 minutes, with rapid degradation via sequential amino-terminal amino acid removal and confirmed oral bioavailability

Bacteriostatic water is not standard in UK clinical practice, and reconstituting injectable medicines at home without professional supervision is unsafe

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