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doi: 10.1016/j.powtec.2020.10.061

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Since nitrous oxide is commonly used for surgery in the elderly, some experts feel vitamin B 12 deficiency should be ruled out prior to its use or prophylactic vitamin B 12 supplementation implemented before and after exposure to the gas (7, 18)

Symptoms: lightheadedness, shakiness, fatigue, blurred vision Management: Always pair with post-workout carbs (e.g., CLEAN CARBS) and avoid fasted use unless experienced IGF1 induces insulin-like effects, including hypoglycemia, particularly at supraphysiologic doses. LeRoith et al., Diabetes Reviews Injection Site Irritation Repeated injections, especially IM, may cause localized inflammation or discomfort

Falling sick every time the weather changes