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Do not use the medication

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If someone is already taking oral levocarnitine or L-carnitine supplements alongside their tirzepatide, adding injectable levocarnitine through the compound may create redundancy and unnecessarily increase total carnitine exposure

[17] [18] Symptoms of Folic Acid and B12 Deficiency Anaemia-related symptoms are common to both deficiencies and often appear gradually

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If those injections are distinct and not part of a larger bundled procedure, Modifier 59 might be necessary to break the [CCI edits]