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Description
If you simply ask the doctors office for a most recent progress note, the diagnosis codes will most likely be on there, as most electronic health records automatically include ICD-10 codes next to diagnoses

Do not attempt to adjust the dose on your own

If the reason is less clear, the care team may recommend review of symptoms, outside records, or broader follow-up before turning B12 into a repeating plan

But if the filler list is longer than the active ingredient list, that is a red flag
Goodman states

Radiological studies were normal
