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Common signs may include: Persistent fatigue or low energy Difficulty concentrating Mood changes Weakness or dizziness Tingling in the hands or feet Individuals who follow restrictive diets or have certain digestive conditions may be more likely to experience low vitamin B12 levels

In high-risk situations when prophylactic administration of immunoglobulins is not possible, additional earlier vaccinations of kittens should be considered, especially if MDA is known or suspected to be poor

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Before starting, a provider should review your health history, medications, allergies, wellness goals, and whether lab work may be useful