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Simply writing "Patient here for injection, vitals taken, injection given" does not support a separate E/M code
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After week 1 I also started to get the muscle spasms/twitching a lot of people are talking about

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Oestrogen leads to Histamine release, that leads to recirculating oestrogen etc

However, Vitamin B12 only occurs in animal products, not in vegetables, and therefore strict vegetarian or vegan diets that exclude dairy products may result in an inadequate amount, although a deficiency may not be apparent for many years
