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63 , 337F0168 (2022)

(iv) elevated levels of TNF- have also been reported in patients with vitamin B12 deficiency, potentially impairing brain development (Fig

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Nonetheless, owners should be informed of these potential risks, in addition to the risk of bleeding from biopsy sites in any cat undergoing liver sampling.7, 48 Biopsy Techniques Liver biopsies, whether they are obtained by needle, laparoscopy, or surgical means, should be taken from a location that represents the primary liver pathology, handled appropriately to ensure accurate interpretation of the sample, and the histopathologic description should be interpreted according to the guidelines set by the WSAVA Standards for Clinical and Histologic Diagnosis of Canine and Feline Liver Disease.42, 61 Guidelines for obtaining and handling surgical biopsies of the liver are reviewed elsewhere 27 and will not be further discussed