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I also gave her an anti-nauseant once a day because part of renal disease means your cat constantly feels nauseous

1: epidemiology, diagnosis, clinical associations, pathophysiology and investigation

Conclusion Hypothyroidism can result in many undesirable symptoms like dry skin, chronic fatigue, memory loss, high cholesterol, and an increased risk of heart disease

Bulletin of Experimental Biology and Medicine, 133 , 614-616

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Medications and alcohol : Long-term use of certain medications like proton pump inhibitors (PPIs) or metformin, and chronic alcohol use, can interfere with B12 absorption