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The inclusion of platelet-rich plasma (PRP), amniotic-derived injectants, placenta-derived injectants, or vitamins in a CPT 64483 injectant may result in denial of the entire claim, per CMS Article A56681

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People with gastrointestinal conditions : Individuals with conditions such as Crohns disease, celiac disease, or those who have undergone gastrointestinal surgery are at higher risk of B12 deficiency

& Mitsuoka, T

[1] [2] When neurological symptoms are present such as paraesthesia, numbness, balance problems, or cognitive changesmore aggressive treatment is required

As always, combination research should rest on a clear mechanistic rationale rather than simply stacking compounds