Many people who die by cyanide poisoning will convulse and go in and out of consciousness several times before they die. Usually there is an intense feeling of suffocation or need for air even though the lungs are still contracting and expanding. As cells are damaged, they produce lactic acid, which results in acidosis. Have you ever ridden a bike so hard that your legs began to burn and ache? The sensation is similar, but spread throughout your entire body. The pain is said to be comparable to a massive heart attack. Tetany — strong muscle contractions — would soon follow. Directly preceding death, the body releases a burst of adrenaline.

It’s not how I would choose to go. - 
Sage Howard
, former Crew Member at McDonald's (2016)

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