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[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine

The Ela-Max should be applied in the office approximately 30 to 40 minutes prior to the procedure

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Diagnostic Tests When changes in urine color raise concerns, healthcare providers may order various diagnostic tests to identify the underlying cause

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