Methionine plays a critical role in the metabolism, inositol stimulates the removal of fat from the liver to prevent fat storage, and choline prevents cholesterol and fat build up in the body
Most practitioners look for a consistent downward trend in antibodies and inflammation over 6-12 months
Most clinicians recommend B12 injections every 1 to 4 weeks for deficiency treatment and once a month for maintenance after deficiency is corrected
As with any injection procedure, there are risks of serious complications, but the incidence is rare
Neurological recovery: B12-dependent myelin sheath maintenance is relevant not only in neurological FIP presentations but in any cat whose systemic illness has produced peripheral neurological effects including the generalised weakness and proprioceptive deficits seen in severe wet FIP cases
Concretely, the beneficial commensal genera decreased, including FP (226, 227), Clostridiaceae , Rikenella , Bacteroides , Prevotella , Roseburia , Pseudobutyrivibrio , Escherichia/Shigella , and Raecalibacterium (228), whereas the pathobiont genera rose, including Lactobacillus (229), Ruminococcus , Akkermansia , Bifidobacterium , Fusobacterium , Erwinia , and Streptococcus (230, 231)
