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Review supplementation If elevated B12 results from excessive supplementation: Discontinue or reduce high-dose supplements unless medically indicated For patients receiving therapeutic B12 injections for confirmed deficiency, continue treatment as prescribedelevated levels are expected after replacement therapy and do not indicate toxicity Review with GP to ensure supplementation remains appropriate 3

Symptoms could include itching, hives, difficulty breathing, or swelling of the face/lips/tongue

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( ( Step (4): Calculate MP RVUs for each CPT/HCPCS code

This makes it suitable formulti-dose useand is known as bacteriostatic water