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Treatment Strategies and B12 Replacement Given the severity of nitrous oxide-induced B12 deficiency, immediate therapeutic intervention centers on a systematic, evidence-based protocol for B12 repletion

Sep 2012;19(9):980-8

Always identify where the infection is located

The disease has numerous consequences, including anemia causing fatigue, bone loss resulting in weakening of the bones, bone fractures, and pain, kidney damage sometimes resulting in the need for dialysis, high calcium levels, altered immunity resulting in infections, and nerve damage which can cause numbness, tingling, or even pain and loss of strength