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It does not naturally occur in plant-based foods so vegetarians can find it in some breakfast cereals or use B12 oral supplements or B12 injections
The ability of hydroxocobalamin to rapidly scavenge and detoxify cyanide by chelation has resulted in several acute animal and human studies using systemic hydroxocobalamin doses at suprapharmacological doses as high as 140 mg/kg to support its use as an intravenous (IV) treatment for cyanide exposure
S2CID 18026508
The good news is that vitamin B12 is a water-soluble vitamin, meaning any excess is naturally excreted by the body
for those with neurological involvement, 1 mg on alternate days until no further improvement
Your GP may arrange periodic blood tests to ensure B12 levels remain adequate, though clinical response is generally more important than specific blood values once treatment is established
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