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Patients should also be aware that certain medications—such as proton pump inhibitors (PPIs) and metformin—can interfere with B12 absorption, though this is less relevant once on injection therapy

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Symptoms to Look For Common symptoms of CKD cats include urinating more often, urinating very large amounts, drinking water excessively, weight loss, lethargy, mouth ulcers, muscle wasting, lack of appetite, and a distinctive ammonia odor to their body