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B12 is a water-soluble vitamin with excess readily excreted, making toxicity virtually unknown in elderly patients
There are virtually no adverse side effects
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This decyanation process is demanding: Although the amount of cyanide is considered toxicologically insignificant, humans must remove and detoxify the cyanide molecule, reduce the cobalamin to its usable +1 oxidation state, and then enzymatically convert the cobalamin into one of two metabolically active coenzyme forms
Let them air dry for 1015 seconds before puncturing
