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The mechanism operates on multiple levels simultaneously

In comparison, placebo produced only 3.1% weight loss

Food and Drug Administration for the treatment of either known or suspected cyanide poisoning.[i] Cyanide (CN) can be released by virtually any material containing carbon and nitrogen when burned under high temperature and low oxygen conditions.[ii],[iii] There is high potential for CN toxicity at many fire scenes due to the increased use of synthetic materials that produce CN during combustion in closed-space fires.2,3 Moderate to high concentrations of cyanide can cause severe injury and death within minutes.[iv] Therefore Cyanide poisoning is a life-threatening situation that requires immediate medical attention