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If left untreated, fungal infections can lead to permanent nail damage

Check out this paper from 1992: If the indiscriminate dumping of industrial cyanide waste continues unchecked with the inherent risk of pollution of food and water supplies there may well come a time when more widespread chronic cyanide neurotoxicity occurs in the Western hemisphere from a dietary source in persons with a genetic or acquired error of cyanide or vitamin B12 metabolism

Immediately after swallowing cyanide, very early symptoms, such as irritation of the tongue and mucous membranes, may be experienced

I personally began using the tool for a week and did feel the effects