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For sick cats the most important thing B12 does is give them their appetite back and just generally make them feel better

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Symptoms of B12 Deficiency The symptoms of vitamin B12 deficiency include a mixture of the physical symptoms associated with peripheral neuropathy, as well as cognitive issues: Physical Symptoms Peripheral Neuropathy experiencing unpleasant sensations in the extremities (the hands, arms, legs and feet) due to nerve damage, such as those listed above Despite feeling the minor irritating phenomenon of pins and needles, persistently feeling the sensation may suggest that you have nerve damage, which should be taken seriously Issues with your eyesight, such as visual disturbances or impairments Experiencing paralysis in areas such as the extremities can suggest that nerve damage has become severe, so medical intervention should be sought as soon as possible

Diabetes therapy : research, treatment and education of diabetes and related disorders, 7(4), 601609

Those parts of your spine become stiff and inflexible