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Studies of radiolabelled cobalamin in cats have demonstrated that the half-life of this compound is significantly reduced in cats with gastrointestinal disease

Other oral symptoms, like mouth ulcers, are also sometimes seen

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Despite showing clear clinical signs of B12 deficiency, doctors often misdiagnose or ignore these people because their results fall within a good B12 level range

Moreover, elderly people are also at higher risk as the ability to absorb vitamin B12 naturally declines with age