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Rely on Symptoms To quote NEQAS: In the event of any discordance between clinical findings of B12 deficiency and a normal B12 laboratory result, then treatment should not be delayed

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Hypercobalaminaemia Is Associated with Hepatic and Neoplastic Disease in Cats: A Cross Sectional Study

Within this context, NGF/TrkA promotes matrix remodeling, monocyte ingress, and macrophage polarization, while BDNF/TrkB modulates dendritic-cell maturation, supports survival and angiogenesis, and may condition T-cell primingtogether positioning neurotrophins as coordinators of tumor persistence and immune exclusion

Additionally, it is recommended to eat a balanced diet rich in foods that contain vitamin B12, such as meat, fish, dairy products, and fortified cereals