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Small-scale clinical trials have reported that exenatide and liraglutide can diminish gallbladder emptying or extend the time to reach the peak postprandial gallbladder ejection fraction [42,45]

Patients often report feeling more energetic and alert shortly after receiving the injection

The researchers concluded that there was small improvement, but due to the limited number of patients in the study, firm conclusions could not be drawn

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Treatment involves dietary optimisation, oral supplementation for mild deficiency, or intramuscular hydroxocobalamin injections for significant deficiency or neurological involvement

(Dependent on patient's needs) Dose: 250 g (also known as micrograms(mcg))in cats and 250 2000 g (also known as micrograms (mcg))in dogs, depending on the size of the patient: For parenteral cobalamin supplementation: Protocol: weekly injections for 6 weeks, then one dose a month later, and retesting one month after the last dose( dependent on patient's needs) For either oral or parenteral supplementation, if the underlying disease process has resolved and cobalamin body stores have been replenished, serum cobalamin concentration should be supranormal at the time of reevaluation