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Laughing gas can inactivate vitamin B12 in the body Nitrous oxide can paralyze people because it destroys nerve cells within the spinal cord by inactivating vitamin B12, which is essential for maintaining the lining of the nerves, Alistair Noyce, a consultant neurologist working in a London hospital in the UK, told Insider

You will need to see the physician a minimum of every 3 months while taking the injections

References Song, S

Cyanocobalamin is indicated for Vitamin B12 deficiencies due to malabsorption which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacterial overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue