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However, if serum cobalamin concentration is within the normal range, treatment should be continued at least monthly (for parenteral supplementation) and the owner should be forewarned that clinical signs may recur sometime in the future

Without adequate amino acid intake from external sources, such as dietary protein, the body may start breaking down muscle protein into amino acids for energy, which can slow metabolism over time

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The treatment provides nutrients, electrolytes and antioxidants to restore and detoxify the body

The mechanism may be related to the decreased inflow of iron, TF and TFR1, the upregulation of GPX4, xCT, and FTH1, and the downregulation of ACSL4, MDA and LPO levels