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Although rare, there have been a few reported deaths due to cyanide poisoning from foods containing cyanogenic glycosides. These reports include deaths from elderberry juice that was thought to contain stems and/or leaves (the stems and leaves contain much higher cyanogenic glycosides than the berries, and ripe berries by themselves are considered safe) <ref>[http://www.cdc.gov/mmwr/preview/mmwrhtml/00000311.htm Poisoning from Elderberry Juice -- California. CDC website. 1998. Retrieved 08/30/2016.]</ref>, apricot pits, choke cherry pits, and improperly processed cassava (a staple food in parts of North Africa) <ref name="who"></ref>. A lethal dosage of cyanide in humans is estimated to be around 1.52 mg per kilogram of body weight, with 0.56 mg per kilogram of body weight being the lowest recorded (although this lowest figure was obtained from a historical case when the measurements taken may not have been accurate) <ref>[http://www.atsdr.cdc.gov/toxprofiles/tp8.pdf Toxicology Profile for Cyanide. Agency for Toxic Substances & Disease Registry. July 2006. Pg 42. Retrieved 08/25/2016.]</ref>. High exposure can cause light-headedness, nausea, vomiting, stomach cramps, diarrhea, convulsions, harm to the brain and heart, comas, and death. Exposure to 0.05 mg of cyanide per kilogram of body weight per day for 15-364 days is considered to be the minimum accumulative cyanide exposure by the US CDC. Accumulative exposure can cause health risks, such as reproductive, respiratory, neurological, thyroid, and gastrointestinal issues <ref>[http://www.atsdr.cdc.gov/toxprofiles/tp8.pdf Toxicology Profile for Cyanide. Agency for Toxic Substances & Disease Registry. July 2006. Pg 21. Retrieved 08/25/2016.]</ref>.
Upon learning about cyanogenic glycosides, brewers often question the toxicity of cherry pits in beer. Cherry pits have traditionally been used in [[lambic]] kriek beers in Belgium. However, the dilution of HCN from cherry pits in beer results in benign levels. Assuming full breakdown of these glycosides, and that none of the HCN boils off (25.6°C boiling temperature), levels of HCN introduced from cherry pits are too low to cause harm to adult humans. The EU regulates that alcoholic beverages cannot exceed 1 mg of HCN per ABV percentage (v/v%) per liter <ref>[http://ec.europa.eu/food/fs/sfp/addit_flavor/flav09_en.pdf COUNCIL DIRECTIVE of 22 June 1988 on the approximation of the laws of the Member States relating to flavourings for use in foodstuffs and to source materials for their production (88/388/EEC). The European Food Commission, Food Safety. Retrieved 08/26/2016</ref>. Luk Daenen, a glycoside researcher, calculated that for a 4% ABV alcohol beer, 4 mg of HCN per liter is allowed. With 200 grams of cherries per liter, and the pits being 10-14 grams of that weight, there is 22 - 30.8 amygdalin per liter of beer. Around 6% of the weight of amygdalin is converted into HCN. Assuming maximum extraction of HCNfrom the amygdalin glycoside, which is unlikely because the pits are not ground up when used in beer, this equates to 1.3 - 1.82 mg of HCN per liter of beer, which is less than the 4 mg of HCN per liter that the EU regulation states. Considering that ~42 mg of HCN is required to kill a person that weighs 70 kilograms (154 pounds), that person would need to drink around 23 liters of beer <ref>[https://www.uclouvain.be/cps/ucl/doc/inbr/documents/presentation-luk-daenen.pdf "Use of beta-glucosidase activity for flavour enhancement in specialty beers," slideshow by Luk Daenen. 2012. Retrieved 08/26/2016.]</ref>. 350 mL of alcohol would kill a 70 kilogram adult <ref>[http://www.alcohol.org.nz/alcohol-its-effects/health-effects/alcohol-poisoning "Alcohol Poisoning". NZ Health Promotion Agency. Retrieved 08/26/2016.]</ref>. The amount of 4% ABV beer required to kill a 70 kg adult from alcohol poisoning is around 8.75 liters. Alcohol would kill such a person far before cyanide poisoning would become a concern.
Because of the high boiling point of HCN, cooking or boiling foods that contain high levels of cyanide will greatly eliminate the HCN (90-100% in some cases) <ref name="Chaouali"></ref>.