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Structural changes remain minimal during initial weeks
The available studies concentrate on hair follicles and dermal papilla cells specifically
Each hydroxocobalamin molecule can bind one cyanide ion by substituting it for the hydroxo ligand linked to the trivalent cobalt ion, to form cyanocobalamin, which is then excreted in the urine
Trade-offs include less flexibility in dose adjustment and prolonged exposure if adverse effects develop
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