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Recreational nitrous oxide (laughing gas) misuse is an increasingly common cause of B12-related nerve damage in the UK and requires urgent assessment if neurological signs develop
It is converted to coenzyme B12 in the body and in this form facilitates the conversion of homocysteine to methionine (methylcobalamin) and plays an important role in converting methylmalonyl-coenzyme A to succinyl-Co-A (fatty acid and amino acid metabolism)
The vitamin C component might reduce the efficacy of these medicines
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B12 Cyanobalamin Cyanocobalamin is a synthetic form of vitamin B12 used to prevent and treat vitamin B12 deficiency
Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jittery dehydration leading to kidney problems
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