Nitrous oxide, a commonly used anesthetic, oxidizes and inactivates vitamin B 12 , thus inhibiting both of the vitamin B 12 -dependent enzymes, and can produce many of the clinical features of vitamin B 12 deficiency, such as megaloblastic anemia and neuropathy
When doing an intramuscular injection they will use one needle to draw the fluid up into the syringe and then change that and use a second to actually inject using a clean needle
Studies for which no response was received were excluded
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