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For weight loss purposes, the frequency of B12 shots typically depends on the individuals specific needs and the overall weight loss plan

Pushing past these limits does not accelerate results and may cause metabolic adaptation

Response: We do not agree that CPT code 64596 is an outlier in assigning the MPPR status to Y in that many other surgical procedures with significant device costs in the Neurostimulator and Related Procedures APC clinical family are also discounted under the MPPR policy, such as CPT code 64583 (Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array, including connection to existing pulse generator)

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Neuroprotection protocols use 0.25-0.5 mg daily subcutaneously or orally