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The patients were dictated to, never consulted and neither were the nurses who administered B12 injections
A deficiency in Vitamin B6 can lead to a variety of health issues
"Nitrous oxide has multiple deleterious effects on cobalamin metabolism and causes decreases in activities of both mammalian cobalamin-dependent enzymes in rats"
Also, after weight loss surgery, patients are on a very restricted diet and adjusting to a reduction in stomach capacity making it difficult to ingest all the nutritional supplements required
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