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[56] [57] Low levels of serum vitamin B 12 may be caused by other factors than B 12 deficiency, such as folate deficiency, pregnancy, oral contraceptive use, haptocorrin deficiency, and myeloma

This allows you to feel more active and productive throughout the day

Retrieved 20 March 2015

Hopefully getting better

Vitamin B 12 deficiency can develop with heavy regular use of nitrous oxide N 2 O, also known as "laughing gas", used for anaesthesia in a clinical setting or as a propellant gas, commonly abused as a recreational drug

Using plain sterile water for a multi-use vial is also a mistake, as it invites bacterial contamination after the first use