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They make clinical sense when managing documented metabolic adaptation, addressing specific complaints of profound fatigue on GLP-1s, or when gastrointestinal side effects prevent the use of standard therapies

While we proposed that specific minutes spent furnishing APCM services for purposes of billing HCPCS codes G0556-G0558 need not be documented in the patient's medical record, we will expect that any actions or communications that fall within the APCM elements of service will be described in the medical record and, as appropriate, their relationship to the clinical problem(s) they are intended to resolve and the treatment plan, just as ( all clinical care is documented in the medical record

Gilbert JA, Gasteyger C, Raben A, Meier DH, Astrup A, Sjodin A

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Therapy with bovine pancreatic enzyme extracts is not sufficient to restore cobalamin absorption in dogs with EPI, as intrinsic factor appears to be species-specific

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