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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
Jean, I would recommend taking Rex for x-rays this time around to see if there is any abnormality present. Your vet may recommend that you go to a specialist if profound symptoms are persistent. If Rex truly has a thiamine deficiency it should not only be diagnosed, which can often be done with blood work, but he should be on a vitamin supplement consistently from this point forward. Thiamine deficiencies can lead to death, so supplementation is absolutely imperative. I would also consider a diet change if his diet has been consistent through both episodes. Your vet can also give injectable vitamin B that may work faster than oral supplementation and alleviate his symptoms much faster.
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