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Side effects are rare but may include: Mild allergic reactions Acne-like skin rash Nausea or upset stomach Always consult your doctor before starting B12 supplements, especially if you are on other medications

For Medicare patients requiring mental health service plan development, CPT evaluation and management codes or psychiatric evaluation codes are the appropriate billing pathway

While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control

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