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Description
Decrease dose if: Experiencing consistent side effects (headaches, fatigue, GI disturbance), achieving satisfactory results at current dose with no need for escalation, or cost considerations favor using minimum effective dose
This makes B12 supplementation extremely safe, with a low risk of toxicity
When a patient receives an injection during an office visit, Medicare and many private insurers apply specific rules to determine whether separate payment for both services is appropriate
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