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From the outside, everything appears stable

Sodium thiosulfate is assumed to be intrinsically nontoxic but the detoxification product formed from cyanide, thiocyanate, may cause toxicity in patients with renal insufficiency (see section 1.7)

Cobalamin blood levels can be monitored, and many veterinarians prefer to check these levels at the time of diagnosis for GI disease, as well as periodically during treatment, to determine if B12 levels are remaining normal

An endotoxin-induced serum factor that causes necrosis of tumors

For example, if you are injecting 30 units that means you depress the plunger for 3-6 seconds