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patients with severe ME/CFS or MCAS must start with microscopic "micro-doses" of binders to avoid overwhelming their fragile systems

If the anesthetist is uncertain about which treatment is indicated, pain should be ruled out first

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Use only when: Nutritional cause is suspected Provider has not specified B12 vs folate Labs pending Early workup stage This is a temporary or last-clarity code , not a default

Miller, Carl (27 September 2020)