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It is a commonly used over-the-counter treatment for BPH and its mechanism of action is felt to be similar to that of 5-alpha reductase inhibitors

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Acta 412 , 12971305 (2011)

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However, a 1000 microgram dose of this form of vitamin B12 has about 1/10th the amount of cyanide that is recommended as the maximum water level by health Canada (200 micrograms cyanide per litre)

Global burden of 87 risk factors in 204 countries and territories, 19902019: a systematic analysis for the global burden of disease study 2019