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Whilst the quantities are minuscule and generally harmless, individuals with impaired kidney function may theoretically have reduced capacity to eliminate this cyanide with very high doses over extended periods, though this remains largely theoretical at normal supplemental doses

Additional testing for endotoxins, heavy metals, and microbial contamination ensures the product meets pharmaceutical-grade standards

Mild nausea or gut flushing: Rare, most often in patients starting at a higher dose than recommended

Prothrombin time is a measure of the activity of coagulation factors II, V, VII, and X, all of which are synthesized in the liver

Colon Figure 16.2