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The only way to know is bloodwork

It may also increase the risk of infection or side effects

Below is a commonly referenced dosage guide based on clinical and experimental studies

15 cycles of 98 C for 10 s, 60 C for 10 s and 72 C for 60 s

Important safety considerations include an increased risk of hypoglycaemia when used with insulin or sulfonylureas (dose reductions of these medications may be needed), potential risk of pancreatitis (seek urgent medical attention for severe, persistent abdominal pain), gallbladder disease, and risk of dehydration or acute kidney injury with severe gastrointestinal events

As it has no use for the cyano-compound itself, it will set about converting any cyanocobalamin you take into methylcobalamin as soon as possible its the methyl-compound that the human body needs to function properly