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People shouldnt go on supplements without talking with their doctor first

Your provider will adjust based on how you feel and any lab guidance

Ignoring Aftercare Proper Aftercare Prevents Complications Once the Vitamin B12 is administered, your work isn't finished

Harpers Biochemistry

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