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The most common side effects are gastrointestinal, including nausea (occurring in 20-30% of patients), diarrhea, vomiting, constipation, and abdominal discomfort

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Medications and birth control Medications that contain hormones, such as hormonal birth control and hormone therapy, can change your cycle by interfering with the hormones that control it (19)

Modifier 59 or XS is appropriate when billing alongside a second, distinct spinal injection code on the same date

Protein powder is also highly recommended to help meet daily protein targets when appetite is suppressed

Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life