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Cyanide is a poison, of course, but in the minuscule quantities found in Cyanocobalamin, this is of no consequence its perfectly safe to take

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In some cases, this route is used because the medicine would not work as well if taken by mouth, or because it needs to be given in a controlled amount by a healthcare professional

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Contraindications : Strong CYP3A4 inhibitors/inducers, liver cirrhosis (53)(54)

It works by mimicking the GLP-1 hormone to increase insulin secretion, decrease glucagon release, and slow gastric emptying