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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

This might be one of the best arguments as to why there needs to be more human trials

Before & After Photos View real patient before and after results
