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Cyanide Poisoning In emergency medicine, a specific form of B12 called hydroxocobalamin is used intravenously in massive doses (5 grams!) to treat cyanide poisoning

J Cell Biochem (2019) 120(7):1162432

The biggest mistakes include repeated freezethaw cycles, leaving vials at room temperature, failing to seal containers properly, and storing reconstituted solutions for too long

N., Tressler, E

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The contrast between the challenging early months and the reward phase explains why treatment persistence matters so much