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In the absence of impaired kidney function, an elevated MMA level in conjunction with elevated homocysteine suggests either a vitamin B 12 deficiency or a combined vitamin B 12 and folate deficiency (32)

Anthony walks through the neuroscience (GABA, dopamine, why alcohol withdrawal can kill you), the genetics (5060% heritability, AMA's 1956 disease classification), the 12-step "allergy" model, and the critical difference between guilt and shame in recovery

This is a dosing consideration that the calculator cannot address, because it involves pharmacokinetic interactions beyond simple concentration math

If your answer to either (or both) of these questions is yes, your cat may need cobalamin

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