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doi: 10.1177/1073858410386615 162 PalaceJ

However, a 1000 microgram dose of this form of vitamin B12 has about 1/10th the amount of cyanide that is recommended as the maximum water level by health Canada (200 micrograms cyanide per litre)

If it does not, consider lowering or discontinuing the dose

10.3390/molecules29153482b 13

Since no other cause for the metabolic acidosis could be found, the possibility of accumulation of 5-oxoproline by paracetamol and flucloxacillin was recognised and the treatment with paracetamol was stopped