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Chalupowicz L, Manulis-Sasson S, Barash I, Elad Y, Rav-David D, Brandl MT

A further complicating factor...when you had your gall bladder removed it is more than likely that you were given nitrous oxide as part of the anaesthetic - and nitrous oxide deactivates all vitamin B12 (this is not detectable on blood tests)

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It is important to follow the injection technique carefully each time to ensure the full dose is delivered and to minimise the risk of skin reactions at the injection site