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Documenting this recommended follow-up date in the encounter note supports continuity of care records and reinforces medical necessity for recurring claims especially important if a payer reviews a pattern of injection claims over time

We do get a ton of new patients who are nervous about the needle

"Some plant-based options like fortified cereals, plant milks and nutritional yeast also contain it

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Mood changes, including low mood or irritability

I've had that on b12 injectionson snd high doses of vit d which at first I thought was hormonal flushes back but ir wasn't All sorts if reasons can causes it You could've passively absorbed some b12 from the tablet I woudnt even mention it at this stage as it coujdve have been either