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Unlike TTP, which involves microvascular platelet-rich thrombi and requires urgent plasmapheresis, PTMA stems from ineffective erythropoiesis due to cobalamin deficiency and responds to vitamin B12 replacement [3]

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Most patients tolerate it well, though its always important to share your medical history and any past reactions with your provider

There are a variety of underlying reasons for this disease epidemic in feline family members, not the least of which is the feeding of ultraprocessed dry food diets