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A similar phenomenon has been observed in baboons but only after a protracted dosing period (6 months) at higher dose levels (335 mg/kg/day or more)

Hydroxycobalamin injections are also considered safe and effective for individuals with cyanide toxicity, as the hydroxycobalamin molecule has a high affinity for cyanide and can bind to it, converting it into a less toxic form that can be excreted by the body

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For patients on established B12 injection therapy, monitoring is based primarily on clinical response and haematological parameters rather than routine serum B12 measurements, which may remain very high without indicating harm or overtreatment

B vitamins are also essential in cell repair and regrowth, among many other factors