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Despite this, cyanocobalamin has been increasingly criticised in recent years, due to the following reasons: Toxicity: cyanocobalamin is often claimed to be toxic, as the cyano group form the poison cyanide

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USA 96 , 1243612441 (1999)

However, the limited data available on its usefulness in children and adolescents highlight its low sensitivity and specificity in this population, warranting the need for other testing methods

10.1016/j.jep.2023.116626 93 Zwolinska-WcisloM.BrzozowskiT.Ptak-BelowskaA.TargoszA.UrbanczykK.KwiecienS.et al (2011)