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Blood tests can determine B12 status, and if deficiency is confirmed, appropriate supplementation or treatment (such as intramuscular injections for pernicious anaemia) can be initiated according to NHS protocols

Gordon, John D

Ideally, the injection is administered into a fatty layer of skin, such as: back of arm, abdomen, or flank/lumbar region

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[1] [13] However, B12 does not function like caffeine or other stimulants

while these are positive results, this evidences that CCM services (especially complex CCM services) continue to be underutilized, as discussed in the CY 2020 PFS final rule (81 FR 80244 and 84 FR 62688), considering the number of eligible Medicare beneficiaries