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Patients who experience a persistent sensation of tightness at the oral commissure and who present with distortion or retraction of the oral commissure, difficulty controlling a food bolus with chewing or frequent biting of the cheek during chewing, may be considered optimal candidates for botulinum toxin injection into this muscle

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As absorption is reduced, body stores become low and a deficiency occurs Underlying diseases most commonly include: IBD (inflammatory bowel disease) Intestinal cancer (especially small cell lymphoma) Liver disease Pancreatitis and other pancreatic diseases Symptoms of low B12 levels Typically found in middle-aged or older cats that present with: Weight loss Diarrhea Vomiting Anorexia Thickened intestines In humans, B12 deficiency may also be associated with dementia, cardiovascular disease, and a certain type of anemia, although these are not specifically recognized problems in cats

Its finally happened and the way it went down shook me up a bit