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In a healthy cat, the tissues retain B12 for an average of 13 days, but in a cat with gastrointestinal disease or other health problems, B12 may stay in the body for only about 5 days

Drugs like phenytoin, metformin, and methotrexate can interfere with folate absorption or metabolism

El Sahly says that it only happens in a small fraction of people

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Antibody levels are highest 1-2 months after vaccination and gradually decline over time

Asymptomatic : In asymptomatic patients with risk factors (see Table 1: Patient Risk Factors Associated with B 12 Deficiency above) consider supplementation in lieu of testing