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Difficulty with balance and coordination , indicating possible neurological decline
[41] [42] Functional vitamin B 12 deficiency can also develop with heavy regular use of nitrous oxide N 2 O, also known as "laughing gas", by oxidizing the cobalt atom and inactivating the vitamin
Furthermore, different methods of administrationoral, intraperitoneal and topicalcan be compared in order to establish a systemic effect
Because your client base may include Alaska-based workforce (possibly transient, high-stress, limited access to consistent training/diet) youd want to emphasise ease of injection, monitoring, clear lifestyle guidelines and realistic expectations (especially given the dark winters, stress, etc)
