It seems there may be a general lack of education available to most doctors about the different forms of B12 and what those forms are as well as how they get converted within the body and what each is most beneficial for (not to mention which set of genes or genetic mutations could benefit most from which B12 type)
They have no diagnosis, no recent bloods, and they want it today
Unlike procedure-heavy surgical specialties, internal medicine focuses on cognitive services, chronic disease management, and care coordination, making precise E/M coding critical
Because the compound is unproven in people and material sold as a research chemical is not manufactured to pharmaceutical standards, the full profile of potential effects is uncharacterised
BPC 157 is not a substance that is legal or in compliance with the FDA for use in humans (1)
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