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The microorganisms in the biofilm include heterotrophic bacteria, fungi, and protozoa, each contributing to the breakdown of different types of organic matter: Bacteria primarily degrade dissolved organic carbon (DOC), such as carbohydrates and proteins

Although less frequent, hypercobalaminemia in cats has been also recorded during chronic enteropathy, acute or chronic pancreatitis, cholangiohepatitis, gastric lymphoma, and hyperthyroidism [62]

So if any preservative was added to the solution, it may very well be the cause of any side effect