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Nitrous oxide exposure , whether recreational or occupational, is an additional risk factor as it can cause functional B12 deficiency and neurological injury

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Data Availability The research's underpinning data were sourced from the publicly available FAERS database ( The dataset generated during and analyzed in the current study are available from the corresponding author upon reasonable request

The company emphasizes that all partner pharmacies comply with applicable federal and state regulations

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Sehgal, Jena Shaw Tronieri, Lyle Ungar and Sharath Chandra Guntuku, 10 April 2026, Nature Health