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The risk is highest for vendors who sell prescription medications, market products for human consumption, operate at large scale, or have already received warning letters
In addition, hydroxocobalamin may be used as part of the treatment for cyanide poisoning (as an antidote), although in such emergency cases very high doses are administered under hospital care
EvexiPELs the one
Side Effects, Risks & Regulatory Notes Most people tolerate vitamin B12 injections well, but injection-site soreness, transient swelling, or redness can occur
This process may explain why some patients respond to methylcobalamin but NOT cyanocobalamin
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