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Li W, Amet T, Xing Y, Yang D, Liangpunsakul S, Puri P, et al

As absorption is reduced, body stores become low and a deficiency occurs Underlying diseases most commonly include: IBD (inflammatory bowel disease) Intestinal cancer (especially small cell lymphoma) Liver disease Pancreatitis and other pancreatic diseases Symptoms of low B12 levels Typically found in middle-aged or older cats that present with: Weight loss Diarrhea Vomiting Anorexia Thickened intestines In humans, B12 deficiency may also be associated with dementia, cardiovascular disease, and a certain type of anemia, although these are not specifically recognized problems in cats

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Moreover, Small partly non-controlled clinical pilot studies have explored the efficacy of ketogenic diets in alleviating fatigue symptoms associated with multiple sclerosis, Parkinsons disease, and the impact of short-term fasting on cancer-related fatigue [106,107,108]

J Diabetes Sci Technol