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This treatment can be reconstituted with other mixes such as hCG, and/or given by intramuscular injection in the deltoid or glute approximately every 7-10 days

However, the lab ranges conventional medicine uses to measure vitamin B12 are low

It would be nice if we could come to a greater understanding of how B12 really really works

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This is only prescribed if the patient meets certain indications: - Patient is at least 18 years of age - Patient is receiving calcium and Vitamin D supplementation if dietary intake is inadequate - Patient must not have hypocalcemia - Patient has not had a myocardial infarction or stroke within the preceding year - The injection will not be used in combination with bisphosphonates, denosumab, or parathyroid hormone analogs/related peptides - Patient must be at a high risk for fracture, or have multiple risk factors for fracture - Patient has a documented diagnosis of osteoporosis ## **Documentation requirements for J3111** As with any HCPCS code, it's important to have sufficient documentation that satisfies your insurer's coding guidelines, requirements, related policy articles, and local coverage determinations

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