If vitamin B12 deficiency due to recreational use of nitrous oxide is suspected, homocysteine or methylmalonic acid should be the initial test as nitrous oxide inactivates the vitamin B12 molecule, which can result in normal total and active B12 concentrations despite tissue deficiency
It has been about 3 and a half weeks since i first saw a reaction and spots are still there
If a patients CBC shows anemia that wont go away, we might need to change their vitamin B12 dose or find other causes
Early reporting ensures timely adjustments to your treatment and prevents complications
At minimum, prepare: AOD 9604 lyophilized vial: Check that the stopper is seated properly and the cake or powder looks dry, intact, and free of obvious collapse
Distinguishing B12-related acne from other causes can be challenging in clinical practice