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Going slow is not just polite caution

The patient presented to the hosipital found severe macrocytic anemia (hemoglobin 60 g/L) with low serum vitamin B12 level and mild proteinuria (proteinuria of 1+).Hence, the diagnosis of megaloblastic anemia was confirmed, which were ameliorated to an extent with red blood cell transfusion and vitamin B12 injections

Because low cobalamin is common in cats with gastrointestinal disorders, retesting can be part of managing the bigger picturenot just confirming that a supplement worked (Simpson KW, 2001)

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