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Instead, they must apply CPT hierarchy rules

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B12 deficiency can cause mood changes, irritability, heightened anxiety, and depressive symptoms these are documented, clinically recognized consequences of insufficient B12

Increased intake of calcium may prevent the metformin-induced B12 malabsorption - Hypokalemia (resulting in death) has occurred during vitamin B12 therapy as a result of increased red blood cell requirements during hematopoiesis

Cyanocobalamin specifically appears in most formulations rather than methylcobalamin, adenosylcobalamin, or hydroxocobalamin