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If your symptoms don't improve after 4-6 weeks of treatment, it may be time to explore other options, such as imaging studies like an MRI

Black spots on the tongue can be alarming and may lead you to wonder what is causing this unusual change in your oral health

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A recent study has examined the effect of cobalamin supplementation on the outcomes of treatment for feline patients with severe cobalamin deficiency and histories suggesting chronic gastrointestinal disease.5 In this study, serum concentrations of methylmalonic acid normalized following parenteral cobalamin supplementation, indicating that cobalamin deficiency was the cause of the high methylmalonic acid in serum