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However, in some cases it can be associated with other risk factors such as: Restriction of blood supply (pancreatic ischaemia) Trauma: for example, a road traffic accident or a fall from a height Infectious agents and diseases: Feline Parvovirus, Toxoplasma gondii, Feline Herpesvirus and Feline Infectious Peritonitis Increased calcium levels (hypercalcaemia) Organophosphate insecticide toxicity: these can be found in some flea collars and garden products Medications such as aspirin and glucocorticoids

There are essential enzymes responsible for TAG hydrolysis including hormone-sensitive lipase (HSL), adipose triglyceride lipase (ATGL), and monoglyceride lipase (MGL) [116]

CW Wong, FHKCP, FHKAM (Medicine) Department of Medicine and Geriatrics, Caritas Medical Centre, Shamshuipo, Hong Kong Corresponding author: Dr CW Wong ( Full paper in PDF [email protected] ) Abstract Vitamin B 12 deficiency is common among the elderly