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If a patient reports side effects, record them in the clinical note with time of onset, severity, and duration

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[95] [19] [96] The amount of cyanide in cyanocobalamin is generally not considered a health risk, since even in a 1,000 g dose, the 20 g of cyanide it contains is less than the daily consumption of cyanide from food

Potential side effects include: Because its still being studied, its not FDA-approved for weight lossbut its being widely used in clinical peptide therapy protocols under supervised care