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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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Anikster Y, Lacbawan F, Brantly M, Gochuico BL, Avila NA, Travis W, Gahl WA (2001) Pulmonary dysfunction in adults with nephropathic cystinosis
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