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Sufferers at this phase of Adrenal Fatigue will often become incapacitated and are frequently called the living dead. Normal ambulatory and functioning time is usually less than 12 hours a day and adrenal crash is a frequent event

The intramuscular route is used for those who have severe B 12 deficiency symptoms, have gastrointestinal intolerance, and are not compliant with their oral supplementation, or when oral supplementation does not maintain B 12 level

Relation to 96372: Vaccines are not billed under CPT 96372

Consistent use of these principles improves payment timeframes, minimizes administrative workload, and protects practice revenue in 2026
