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For patients with severe deficiencies or neurological symptoms, we may recommend higher and more frequent doses administered via intramuscular injection
In fact, cobalamin deficiency is a common cause of metabolic encephalopathy, one of a number of forms of encephalopathy associated with a primary disease (such as FIP) that causes interference with normal brain function and blood-brain barrier mechanisms
If you choose to inject intramuscularly, insert the needle at a 90-degree angle
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