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However, the levels of cyanide resulting from cyanocobalamin are so minimal that the term toxic is hardly applicable here Build up in the cells: studies have shown that around 1000 g of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)

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TLI test: If exocrine pancreatic insufficiency is suspected as the underlying cause, a trypsin-like immunoreactivity blood test confirms or rules this out

During your visit, our specialists will review your medical history, current symptoms, and any previous experiences with vitamin B12 supplementation