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At the 15mg dose, participants lost an average of 52 pounds

[95] [19] [96] The amount of cyanide in cyanocobalamin is generally not considered a health risk, since even in a 1,000 g dose, the 20 g of cyanide it contains is less than the daily consumption of cyanide from food

Some patients report noticing changes within 2-4 weeks, though individual responses vary

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