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Description
Members of the Pernicious Anaemia Society regularly report that their GPs in primary care and even some doctors in Secondary care tell them that they do not have access to Active B12 tests or MMA/Homocysteine or are not willing to order these tests

The compound remains in a regulatory gray area: recognized as safe, but without the efficacy data needed for pharmaceutical approval

A painkilling oral rinse, gel, or mouth spray may help to ease pain

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Evidence-based practice supports choosing one agent and optimizing its dose before contemplating polypharmacy

Denial Reason 4 Bundled With E/M or Procedure Solution: Justify separateness
