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Though the payment amount is generally based on the same provisions as the specified amount, there may be situations where the payment amount is updated or adjusted under other provisions of 1847A of the Act, such as when ASP data are not available under section 1847A(c)(5)(B)

SSRIs can change appetite and increase fatigue

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Patients receiving injections more frequently than clinically indicatedsometimes through private clinics offering 'wellness' treatmentsmay accumulate excessive levels without medical justification

Hematocrit, reticulocyte count, vitamin B 12, folate and iron levels should be obtained prior to treatment