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That is exactly why guessing is not a good strategy
For background and my updated recommendations, see my extended look at vitamin B12 in the related posts below
They qualify for 99214 when lab review, medication adjustment, or iron infusion planning is involved, which is moderate-level MDM
The best sources of B12 are found in organic meat and eggs
For that group, treating the deficiency is important, because an untreated deficiency does not stay still
Switching to a compounded formulation that includes B12 alongside the semaglutide addresses the deficiency directly, and fatigue improves by week six
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