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The initial management of overdose: After a careful clinical evaluation of the patient the importance of time elapsed since last ingestion or administration, the amount of poison swallowed and discarding the contraindication of certain procedures, the professional will decide whether or not the treatment of general rescue: emesis or gastric lavage, activated charcoal and saline purgative (45 to 60 minutes after the activated carbon), hemodialysis

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Animal models show multiple effects of vitamin B12 that are likely of clinical relevance, including the potential to support nerve regeneration, which could result in long-term healing beyond immediate pain-reducing effects