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The Route of Administration The most significant barrier is that hydroxocobalamin is licensed for parenteral administrationmeaning it must be given by injection (Intramuscular, IM)

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However, any increases in SubQ fluids should be gradual and under the supervision of a veterinarian through period blood tests to ensure that the treated cat does not suffer from side effects such as electrolyte imbalances

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Dawes P, Cruickshanks KJ, Marsden A, Moore DR, Munro KJ

Generic escitalopram is covered typically at a low tier with minimal prior authorization