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This simplifies audits and prevents defaults to Z86.0100 when more specific coding is justified

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It is essential to start with a lower dose and gradually titrate up to assess tolerance, particularly for patients with severe ME/CFS who may be highly sensitive to metabolic shifts

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3.3 Betaine Also known as trimethyglycine, betaine is a naturally occurring short-chain amino acid derivative that can be found in some foods, which can also be synthesized in the body via choline metabolism (Arumugam et al., 2021)