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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

Additionally, alcohol can exacerbate gastrointestinal side effects such as nausea and may contribute to dehydration if combined with vomiting or diarrhea caused by the medication

Reference the semaglutide dosage chart in mL for pharmacy-specific conversions