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Its worth noting that the name "cyanocobalamin" refers to its cyanide molecule

This sudden hypotension triggers a baroreceptor reflex, which causes a compensatory reflex tachycardia

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Piotrowska A, Chmielewska M, Andrzejewski W et al (2020) Influence of angiotensin II on cell viability and apoptosis in rat renal proximal tubular epithelial cells in in vitro studies