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Cyanocobalamin is also used to perform the Schilling test to check ability to absorb vitamin B 12.[13] Cyanocobalamin is also produced in the body (and then excreted via urine) after intravenous hydroxycobalamin is used to treat cyanide poisoning

With the DAC moiety, the peptides half-life is extended to ~5.88 days, allowing less frequent dosing compared to native GHRH (30 minutes) (6)

GI side effects in clinical trials typically resolved within 23 weeks, but if symptoms persist beyond four weeks at a reduced dose, discontinuation is warranted

If hypoglycemia does occur, the total daily basal and/or prandial insulin dose should be reduced by 1020% if the blood glucose level was 60 Units alternative separate antidiabetes products such as iGlar and lixisenatide should be used