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It can cause or contribute to other effects on the fetus, though, such as: Neonatal thrombocytopenia (a low platelet count that can increase the risk of bleeding) Fetal bradycardia (a slower-than-normal heart rate) If a hospital provider suspects a baby was affected by hydralazine given during labor, the newborn would be evaluated by pediatrics, monitored closely, and treated if needed

Because secondary procedures typically reimburse at a reduced rate, payers use modifier 51 to adjust payment accordingly

some protocols may use twice-weekly injections or injections every other week, depending on your individual needs and how you respond to therapy

Table 6: Treatment of folate deficiency (adapted from Means 2021) 27 TOP Ongoing Care Ongoing Management Vitamin B 12 Duration of therapy Once a diagnosis of B 12 deficiency due to poor absorption of B 12 has been made, therapy should be maintained lifelong

(2008) measured the B12 content of fortified beverages and multivitamins