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He was heavily malnourished and diagnosed with FIP

Patients should report adverse reactions via the MHRA Yellow Card scheme and seek emergency care for anaphylaxis symptoms

Be cautious with temperature changes

The lack of adequate cobalamin in the body hinders the regeneration of tetrahydrofolate, which eventually leads to megaloblastic anemia due to the functional folate deficiency.On the other hand, the methylmalonyl-CoA mutase helps to metabolize odd chain fatty acids and branch chain amino acids.Cobalamin is also thought to keep the bodys level of sulfhydryl (SH) groups in reduced form

A consultation will help determine whether this treatment is suitable for you, although testing can be arranged if needed