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Vitamin B 12 deficiency can develop with heavy regular use of nitrous oxide N 2 O, also known as "laughing gas", used for anaesthesia in a clinical setting or as a propellant gas, commonly abused as a recreational drug

When B12 levels are insufficient, this protective coating can deteriorate, leading to improper nerve function and ultimately nerve damage

Our 2-day excursion trip starts in Puerto Maldonado , and we will sail down the Madre de Dios River until we reach the port of Sandoval

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