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Injections skip the gut, while non-injectables are subject to digestion and the oral mucosa

These levels of cyanide are not inherently problematic, however if you are a smoker, are suffering from nutritional deficits, or enzyme defects, your body may have a to a reduced ability synthesize Cyanocobalamin

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The corresponding fast infusion and high peak levels more likely approach the 5mg/kg suggested threshold for serotonin syndrome to occur