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It typically presents as macrocytic megaloblastic anemia and neurological impairments, including sensory and motor disfunctions, predominantly in the lower extremities, ataxia, and in more advanced stages cognitive decline progressing to dementia, as well as psychiatric disturbances (Sanjay et al., 2022

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While a prescription is necessary in some clinical settings, especially when treating a diagnosed deficiency, many modern med spas and wellness clinics offer B12 shots as an elective wellness service

Accurate coding has cascading effects on everyone involved in healthcare: For Hospitals Incorrect codes lead to claim denials, delayed payments, or underpayments in hospital billing

For beginners, start with 150 mcg daily for the first week to assess tolerance

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