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Early treatment can help prevent nerve damage from B12 deficiency
Research community forums and discussion groups often identify problematic vendors and highlight reliable sources
Genetics may also play a role, as some breeds (like Siamese cats) appear to be more prone to developing the condition

Metaxas C, Mathis D, Jeger C et al (2017) Early biomarker response and patient preferences to oral and intramuscular Vitamin B12 substitution in primary care: a randomized parallel-group trial