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Studies show that oral doses of carnitine can increase fat break down and decrease muscular fatigue after a work out

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In order to absorb dietary B12 in the small intestine, we need adequate stomach acid, the enzyme pepsin, and a gastric protein called intrinsic factor

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This condition is rare but has been reported in several breeds, including: Border Collies Beagles Chinese Shar-Peis Giant Schnauzers Australian Shepherds Treatment of cobalamin deficiency When left untreated, cobalamin deficiency can potentially lead to serious health problems

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Common Clinical Use Cases: IM steroid injection (e.g., Depo-Medrol for bursitis or joint pain) Vitamin B12 injection for deficiency Testosterone therapy in male hypogonadism Naltrexone injection for alcohol or opioid use disorder Rocephin (ceftriaxone) for infections like gonorrhea or pneumonia These injections must be documented properly, including drug name, dosage, route, site, and medical necessity to justify the service

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Evidence of and experience with the use of onabotulinumtoxinA in trigeminal neuralgia and primary headaches other than chronic migraine

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