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They can appear whiter or lighter than your normal skin tone

Tsikas D (2017) Assessment of lipid peroxidation by measuring malondialdehyde (MDA) and relatives in biological samples: analytical and biological challenges

So if there's an inflammatory bowel disease, if there is an intestinal cancer, then ideally we need to start treatment for that disease so that absorption can then resume and your cat's B12 levels can be maintained after we've supplemented them