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Missed doses interrupt the steady buildup that pills depend on, and some high-dose tablets are large and hard to swallow

References Markle HV, Greenway DC

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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