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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

If you experience intolerable side effects when jumping from 5mg to 7.5mg, you can try 6mg or 6.5mg instead

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What to Expect From Our Program A program with us begins with a full health assessment: medical history, BMI (generally 27 or higher with a related condition, or 30 and above), and lab work to confirm you are a candidate