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PMID: 32069873 14.Mohammad S, Mishra A, Ashraf MZ
In rare cases, starting high-dose B12 treatments for severe anemia may cause temporary imbalances in potassium levels or an acne-like rash
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Patients reporting "significant energy improvement" rate injections as worth the cost at 2.4x the rate of those reporting "mild improvement." Comparison to alternatives: MIC B12 injections occupy a middle ground: more effective than oral supplementation for B12 repletion and subjective energy, less effective than prescription weight-loss medications for weight reduction, and significantly less expensive than GLP-1 agonists
however, we believe this level of specificity is unnecessarily burdensome for an ASC payment system that is less than one-tenth the size of the OPPS (in which the weight scalar is rounded to the nearest ten-thousandth)
The body needs time to adjust at each level, and extending the adaptation period is almost always preferable to resetting progress
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