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This initiation dose establishes baseline receptor activation
The action of hydroxocobalamin injections in the treatment of cyanide poisoning is based on its ability to bind cyanide ions to form nontoxic cyanocobalamin, which is then excreted in the urine
References Ng FM, Sun J, Sharma L, Libinaka R, Jiang WJ, Gianello R
You can certainly combine the shots in the same syringe, but I do not recommend it (unless you are an expert), because if you get an air bubble in the syringe, as you extract the liquid from the vial, you will need to slowly return the liquid into the vial and re-extract it again till theres no bubbles
