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State Lyophilized (short term) Storage 35.6-46.4F (2-8C) for short windows Notes Acceptable for shipment or near-term storage

When a patient with any type of diabetes mellitus has documented neuropathy and both conditions are listed in the medical record, coders must assign the diabetic neuropathy combination code (E08.4xE13.4x) even if the provider does not explicitly state due to diabetes. The provider need not use the exact phrase due to diabetes

Studies have shown that B12 supplements may improve memory and concentration, especially in older adults

B12 is necessary for digestion, protein synthesis, absorption of foods and the metabolism of fat and carbohydrates

Mix gently : Swirl the vial until the powder fully dissolves

Practitioners should consider specific B 12 dietary counselling for patients currently on a vegetarian, or vegan diet, including patients who have recently initiated such a diet