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Common symptoms include: Loss of appetite Weight loss Vomiting Diarrhea Increased thirst and urination Low energy or lethargy Weakness Bad breath Abdominal discomfort A swollen or bloated abdomen Yellowing of the eyes, gums, or skin (jaundice) Behavioral changes such as confusion or disorientation Not every dog will develop all of these symptoms, and the severity often depends on the underlying condition

Nat Chem Biol 16(12):13511360 Wang L et al (2020) Abnormal serum Iron-Status Indicator changes in amyotrophic lateral sclerosis (ALS) patients: a Meta-analysis

I appreciated that they reviewed my history instead of assuming every low-energy problem is a B12 problem

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