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The signs shown by the cat depend on the area of the digestive tract thats most affected: inflammation of the stomach (gastritis) causes vomiting, while if the intestines are inflamed (enteritis), diarrhea is seen

So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [5154]