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Furthermore, they are not governed by the same rules as both prescription and over-the-counter medications

If you're not getting enough B12, you can experience anemia, fatigue, weakness, constipation, decreased appetite, weight loss, dizziness, lightheadedness, confusion, poor memory, soreness of your tongue and mouth, and tingling and numbness in your hands and feet, according to Harvard Health Publishing

This is a critical consideration for laboratory protocols

Modifier 25 is needed on the E/M code when a separately identifiable office visit occurs the same day

The wrong approach can accelerate muscle loss and reduce adherence