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Most clients resume normal daily activities shortly after their visit

[4] Clinical practice typically involves reviewing medication history, assessing liver function, performing a full blood count, and considering haematological or hepatological referral when levels are markedly elevated without clear cause

[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine

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However, translation to human therapies requires rigorous clinical trials to establish safety and efficacy

But for researchers who find the GI effects of full weekly doses difficult to manage, the trade-off is often worth it