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If a cat with chronic pancreatitis also has an imbalance in gut bacteria (based on the results of a microbiome testing assessment), then restoration of the gut microbiome via fecal transplant might be advisable as well

The skin is the bodys first defense against infection, so clean the injection site too (with an alcohol swab or soap)

The proposed mechanism involves NNMT inhibition increasing the SAM:SAH ratio and NAD+ precursor availability, activating sirtuin-mediated metabolic programs

In this answer 3 sections The reason you started with intense every other day B12 shots and transitioned to a monthly schedule is a medical strategy called loading and maintenance. When you were first diagnosed, your bodys B12 stores were dangerously low