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[2] Nitrous oxide overdose or overuse converts the active monovalent form of vitamin B 12 to the inactive bivalent form

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Although anemia is often a symptom, the condition is actually the end stage of an autoimmune inflammation of the stomach known as autoimmune atrophic gastritis, resulting in destruction of stomach cells by one's own antibodies (autoantibodies)

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Ingredients & Dosage Inactive ingredients / formulation base SKU: B-GPN1000MG Shipping & Storage Shipping: Orders ship within 12 business days