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The provider notes iron deficiency anemia due to chronic menstrual loss. That is a clean D50.0 case

Please review the following information carefully: Contraindications: Medullary Thyroid Carcinoma (MTC): Do not use Semaglutide if you or a family member has a history of MTC

Method ..The medical records (FP5,6) of all the patients were then reviewed to identify reasons for the use of B12 and the extent to which diagnostic criteria were established and appropriate management and follow up undertaken

If the breakouts reduce, it may be something in the supplement