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If your cat suffers from weight loss, lethargy, diarrhea, or vomiting, your veterinarian may measure the level of B12 in your cats blood

However, if untreated, a vitamin B12 deficiency can lead to serious symptoms, including nerve damage or pernicious anaemia a condition when your body doesnt have enough B12 to make the red blood cells it needs

If you ever notice your energy starting to dip before your next visit, that is useful information to share, because it may mean your timing needs a small adjustment

If your blood levels are lower than 200pg/mL or if you are diagnosed with pernicious anemia, your doctor may recommend B12 supplementation via injection