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Vitamin B12 deficiency Having trouble absorbing vitamin B12 from food, lacking intrinsic factors (for example, as a result of pernicious anaemia), having gastrointestinal surgery, taking certain medications for an extended period of time (such as metformin or proton pump inhibitors), and nutritional deficiencies are all causes of vitamin B12 deficiency

This leads to skin laxity, fine lines, and loss of definition in areas like the jawline, neck, and brows

Talk to your doctor about your nitrous oxide misuse so they can give you the right recommendations

More serious but rare adverse events include pancreatitis, gallbladder events, and hypoglycemia (primarily in patients using insulin simultaneously)

If youre already having B12 injections or considering them, its essential to understand what type of B12 youre receiving and why it matters