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EMG uses a very fine needle electrode to assess electrical activity in selected muscles, helping distinguish nerve-related weakness from muscle disease and showing whether nerve irritation is active or chronic

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A recent study has examined the effect of cobalamin supplementation on the outcomes of treatment for feline patients with severe cobalamin deficiency and histories suggesting chronic gastrointestinal disease.5 In this study, serum concentrations of methylmalonic acid normalized following parenteral cobalamin supplementation, indicating that cobalamin deficiency was the cause of the high methylmalonic acid in serum