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However, the levels of cyanide resulting from cyanocobalamin are so minimal that the term toxic is hardly applicable here Build up in the cells: studies have shown that around 1000 μg of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)
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For those with irreversible causes such as pernicious anaemia or malabsorption, injections are usually given every 2–3 months
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