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Vegetarians and vegans are particularly at risk of this deficiency, as they do not consume animal-derived foods that are rich in Vitamin B12

If I do that successfully, homocysteine usually normalises alongside

PMC 11157498

Ensuring your cat receives enough vitamin B12 is critical to maintaining their health and wellbeing, especially in younger cats and those with certain health conditions

Under normal conditions, the body converts homocysteine back to methionine (via a pathway that uses vitamin B12 and folate as cofactors) or breaks it down into the amino acid cysteine (via a pathway that uses vitamin B6)