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The reliance on outside certificates of analysis is itself an admission that the normal guardrails of identity, potency, sterility and quality control are absent

[PubMed Citation] Cyanide poisoning is uncommon, but generates interest because of the presumed utility of an antidote immediately available in those areas with a high risk of cyanide exposure

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Common adverse effects include gastrointestinal symptoms (nausea, diarrhea, constipation), which typically improve with continued use