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In this framework, immune-complex-induced immune activation is recognized as an alternative ADE pathway that amplifies immune responses in COVID-19 (Figure 1B)

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However, the levels of cyanide resulting from cyanocobalamin are so minimal that the term toxic is hardly applicable here Build up in the cells: studies have shown that around 1000 g of cyanocobalamin accumulates in the cell fluid during therapy with high dosages (2)

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