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In an outbreak or a shelter with endemic disease, treatment alone will not solve the problem Shelters need to identify a cause and address the root issues contributing to cats becoming ill

However, your B12 deficiency itself could be the cause for your frozen shoulder and muscular weakness, and combined with sudden physical activity could be the catalyst for a sudden traumatic tendon rupture

This condition, known as megaloblastic anemia, results in: Early detection through regular blood testing enables healthcare providers to identify B12 deficiency before severe anemia develops

The B12 that I use in my practice is methylcobalamin - one of the coenzyme forms of vitamin B12 that is easy for the body to use

Adjusting fiber intake may help