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So any lipotropic regimen should only proceed under specialist supervision

[20] It can also be injected intravenously for the purpose of treating cyanide poisoning, as the hydroxyl group is displaced by cyanide, creating a non-toxic cyanocobalamin that is excreted in urine

Sources: Cesarec V, et al

[DOI] [PMC free article] [PubMed] [Google Scholar] 6.Sikiric P., Boban Blagaic A., Strbe S., Beketic Oreskovic L., Oreskovic I., Sikiric S., Staresinic M., Sever M., Kokot A., Jurjevic I., et al