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If you suspect the reactions are allergic, consult a doctor immediately

Here is what the data shows

The effectiveness of hydroxocobalamin was examined in a randomized, placebo-controlled, blinded study in cyanide-poisoned adult dogs assigned to treatment with vehicle (0.9% saline), or 75 or 150 mg/kg hydroxocobalamin

Lyophilisation, or freeze-drying, is a process that removes water from the peptide, allowing it to be preserved for longer periods

A 2020 Nutrients review found no direct causal link but acknowledged nutrient imbalance risks
