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From the digestive system, an increase in acidity, nausea, vomiting, diarrhea, and abdominal pain can be observed

Blood cell health*

Hydroxocobalamin may also be given intravenously in certain scenarios (for example, 5 g IV for acute cyanide poisoning antidote therapy), but such high-dose use is in emergency settings and distinct from routine deficiency treatment

If a cat is not responding to diet changes and probiotics, a veterinarian may prescribe antibiotics if the cause of diarrhea is suspected to be due to an infectious bacteria, an over-reaction of the gut to normal bacteria, or dysbiosis (an unbalanced number and variety of bacteria present in the gut)