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Diagnostic biomarkers for B12 status in cats include decreased levels of circulating total cobalamin and increased levels of methylmalonic acid

Ann Clin Lab Sci 39:219232 [PubMed] [Google Scholar] Merola A et al (2016) Peripheral neuropathy associated with levodopacarbidopa intestinal infusion: a long-term prospective assessment

Confirming the deficiency with a blood test is what makes that trade-off clear

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