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if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile
Possible side effects may include mild nausea, flushing, or a temporary metallic taste, but most side effects are rare and short-lived
Without angiogenesis, repair is mechanically limited regardless of how many cells are mobilized
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Code: CPT 45378
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