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During the early titration phase when GI symptoms may limit exercise tolerance, walking is often the only practical option

Langan RC & Zawistoski KJ, Am Fam Physician 2011 Vitamin B12 deficiency overview

The E/M visit must be documented as a distinct service with its own clinical rationale a provider cannot simply tack on modifier 25 to justify billing an office visit alongside every immunization

Initial Treatment Phase: During this time, its important to keep an eye on vitamin B12 levels and symptoms

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