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(2011) 'Prevalence of selected bacterial and parasitic agents in feces from diarrheic and healthy control cats from Northern California', Journal of Veterinary Internal Medicine , 26(1), pp

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Importantly, serum B12 levels can be misleadingly normal or even elevated in chronic liver disease due to increased levels of binding proteins (such as haptocorrin) and reduced clearance, meaning that total B12 measurements may not accurately reflect tissue B12 status or functional deficiency

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