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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 g of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)

Furthermore, as a non-standardized intervention, it allows for personalized implementation tailored to individual patient needs

The considerable impact of a single study on the overall meta-analysis outcome underscores the importance of incorporating a diverse range of studies to mitigate potential biases

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