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Leaving D64.9 on the chart across multiple encounters invites audit scrutiny and reduces reimbursement.

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B12 injections are administered intramuscularly, typically in the deltoid (upper arm) or gluteal (buttocks) muscles

This option may be recommended for individuals who have difficulty taking vitamin B12 orally

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I think that my body type was just too sensitive overall for the b12 megadose and so I'm having this ongoing reaction