If a patient reduces pain but does not rebuild capacity, the tissue may still be vulnerable
Scale back if pain increases beyond baseline, swelling returns, symptoms persist beyond 24 hours, or multiple consecutive sessions trigger increased symptoms
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Whilst the quantities are minuscule and generally harmless, individuals with impaired kidney function may theoretically have reduced capacity to eliminate this cyanide with very high doses over extended periods, though this remains largely theoretical at normal supplemental doses
For example, a BAC of 0.08% indicates that 0.08% of the blood's volume is alcohol