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Vitamin b 1 2 has a lower level of toxicity as a water-soluble vitamin that secretes through the urine

Cats obtain the vitamin through their diet, and most commercial cat foods provide sufficient amounts of B12 for a healthy cat

Systemic reactions may include gastrointestinal disturbances (nausea, diarrhea, abdominal cramps) when large doses are administered intravenously

In those patients, addressing the underlying metabolic dysfunction first, through dietary intervention, GLP-1 therapy if indicated, or NAD+ support for cellular energy metabolism, is the clinical priority

High-dose B12 therapy can also boost nerve function and reduce pain