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The deficiency needs to be corrected through supplementation that bypasses the damaged absorption pathway, while the underlying gut or pancreatic condition is treated separately
It is typically administered subcutaneously using a syringe-type cartridge and an external infusion pump
B12 shots are typically administered in the upper outer quadrant of the gluteal muscle (the gluteus medius)
Drug Dosing Disclaimer: We are only able to provide doses for medications that are FDA approved for use in cats and only as the label guidelines dictate
The NHS treatment pathway and the 2024 NICE guideline both assume B12 injections are given in a clinical setting against a confirmed deficiency, not self-sourced and self-administered
For neurological involvement, hydroxocobalamin 1mg should be given on alternate days until no further improvement, before moving to maintenance
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