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In these cases, supplementation may be considered under professional guidance

Neurologic manifestations will not be prevented with folic acid, and if not treated with vitamin B 12, irreversible damage will result

Common side effects include: Injection site reactions pain, redness, or swelling at the injection site Mild diarrhoea or gastrointestinal upset usually transient Skin reactions itching or rash (uncommon) Hypokalaemia rare, occurring when severe megaloblastic anaemia is corrected rapidly Serious adverse effects are extremely rare but may include anaphylaxis in hypersensitive individuals

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CD38 is functionally dependent on the TCR/CD3 complex in human t cells

For FIP cats, we recommend a weekly injection until the anemia resolves and RBC values are stable