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The only substrate that converts cyanocobalamin into a biologically acceptable form is glutathionyl

It may also cause diarrhea

doi: 10.1186/s12866-025-04201-2 177 LidbergK.PilhedenS.Relloso Ortiz de UriarteM.JonssonA.-B

Wear appropriate personal protective equipment including gloves, lab coat, and protective eyewear Handle research compounds within approved laboratory workspaces or controlled preparation areas Avoid inhalation, ingestion, or direct contact with skin and mucous membranes Dispose of unused materials and consumables according to institutional chemical waste procedures Maintain accurate labeling and documentation for all stored research compounds Following established laboratory safety protocols supports responsible chemical handling and regulatory compliance within research environments