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Even if the underlying problem is treated appropriately and the digestive tract returns to normal, the vomiting, diarrhea, and weight loss may continuebut now because of the vitamin B12 deficiency, not the initial disease process

Young animals and older animals can have differing metabolic rates and physiological responses

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However, serum B12 alone may not always reflect true tissue B12 status, particularly in liver disease where altered binding proteins can lead to misleadingly normal or elevated results