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In addition, signs of anemia to look out for in cats include pale gums, increased heart rate, increased breathing rate, lethargy and weakness (sleepiness), decreased appetite, increased water intake, and collapse

22,23 Importantly, these risk factors should be carefully assessed before the procedure to minimize long-term bruising

Low stomach acid can contribute to low iron levels and anemia by affecting nutrient absorption, as stomach acid is needed to extract iron and vitamin B12 from our protein-containing foods

Hence, a simple batch comprising carbomer, water and triethanolamine to adjust pH at 7.4 was successfully prepared as a transparent gel and then several vehicles / permeation enhancers were tried