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Agency for Toxic Substances and Disease Registry

We hope that this article sheds some light on the many treatment options available and provide helpful information when choosing the treatment options that may be best for you

In addition, the concentration of cyanocobalamin is detectable in plasma only in smokers due to the increased cyanide exposure of cigarette smoke in combination with the dietary supplement (Domke et al., 2004)

While this is usually negligible, it can add up over multiple doses from the same vial