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Nitrous Oxide Use and Anemia Because nitrous oxide use can affect how your body absorbs vitamin B12, it can also lead to a condition called pernicious anemia

Haematological parameters typically normalise within approximately 8 weeks of appropriate treatment

Monitoring and adjustment protocols should include: Weight and vital signs at each visit (initially monthly, then quarterly) Assessment of medication tolerance and adherence Evaluation of eating behaviors and physical activity Laboratory monitoring as outlined previously Reassessment of weight-related comorbidities Realistic expectations should be established through shared decision-making

Typically, we recommend continuing Vitamin B12 injections until you achieve your desired results and then transitioning to a maintenance plan to sustain your improved health benefits