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10.1007/s11095-014-1378-3 2 CzockD.KellerF.SeidlingH
Confirm ICD-10 supports medical necessity
The medical professional administering the shot may pinch the skin around the site and inject the liquid from the syringe either intramuscularly or subcutaneously
Neither approach is particularly helpful
Unlike metformin, which has documented effects on ileal B12 uptake, GLP-1 and GIP receptor agonists do not directly affect the intrinsic factor-B12 complex or terminal ileum absorption
Common schedules include weekly injections for initial deficiency correction, then bi-weekly or monthly injections for maintenance, or as-needed for energy or performance boosts
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