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My over active imagination is conjuring up pictures of anaphylactic shocks, even though I have had the B12 injections from doctor before

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doi: 10.1002/art.41511

Unlike the dog, these enzymes will only increase modestly in cats, even in severe disease, and there is no glucocorticosteroid or drug induction of the enzymes to influence interpretation.14, 37 Thus increases in ALP in the adult cat represent a release of enzyme from the hepatobiliary tree and should be considered clinically important

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They are not compounding pharmacies